An 8-year-old girl with Budd-Chiari syndrome presented with upper gastrointestinal hemorrhage and ascites. TIPS to decompress the portal hypertension was performed by puncturing the portal vein directly from the inferior vena cava. The shunt remains patent after 3 years without requiring secondary intervention.
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Carnevale, F., Caldas, J. & Maksoud, J. Transjugular Intrahepatic Portosystemic Shunt in a Child with Budd-Chiari Syndrome: Technical Modification and Extended Followup. CVIR 25, 224–226 (2002). https://doi.org/10.1007/s00270-001-0098-3
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DOI: https://doi.org/10.1007/s00270-001-0098-3