Endovascular closure of a large intrahepatic portosystemic shunt in a three-month-old infant: a case report and literature review - Takeaways - MDSpire

Endovascular closure of a large intrahepatic portosystemic shunt in a three-month-old infant: a case report and literature review

  • By

  • Konstantin Semash

  • Shukhrat Salakhitdinov

  • Mansur Nasirov

  • Timur Dzhanbekov

  • Alisher Yusubov

  • Bakhtiyorjon Umarov

  • June 17, 2026

  • 0 min

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  • 1

    Congenital portosystemic shunts (CPSS) divert portal blood into systemic circulation, risking severe metabolic complications.

  • 2

    A three-month-old infant with jaundice and growth retardation was diagnosed with a large intrahepatic CPSS via imaging.

  • 3

    Endovascular coil embolization was successfully performed to close the shunt, leading to normalization of liver function tests.

  • 4

    An early complication of coil migration into the pulmonary artery was managed successfully with endovascular retrieval.

  • 5

    This case demonstrates the effectiveness of endovascular intervention for large intrahepatic CPSS in very young infants.

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