Fig. 1
From: Caution for living donor liver transplantation with congenital portosystemic shunt: a case report
Contrast-enhanced computed tomography before and after B-RTO. A Preoperative contrast-enhanced computed tomography revealed a congenital portosystemic shunt 9 mm in diameter (arrowheads) originating from the left gastric vein (LGV) and draining to the left renal vein (LRV). B–D After donor hepatectomy, the portal trunk narrowed and the congenital portosystemic shunt widened 12 mm in diameter. After the B-RTO, the portal trunk expanded (arrows), and liver regeneration accelerated after balloon-occluded retrograde transvenous obliteration (B-RTO). Embolization of the LGV–LRV was successfully achieved and became inconspicuous 6 months after B-RTO (arrowheads)