Angelico R, Paolantonio G, Paoletti M, Grimaldi C, Saffioti MC, Monti L, Candusso M, Rollo M, Spada M. Combined endovascular-surgical treatment for complex congenital intrahepatic arterioportal fistula: A case report and review of the literature. World J Hepatol 2020; 12(4): 160-169 [PMID: 32685108 DOI: 10.4254/wjh.v12.i4.160]
Corresponding Author of This Article
Marco Spada, MD, PhD, FEBS, Department of Abdominal Transplantation and Hepatobiliary and Pancreatic Surgery, Bambino Gesù Children’s Hospital IRCCS, Piazza Sant'Onofrio 4, Rome 00165, Italy. marco.spada@opbg.net
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
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Angelico R, Paolantonio G, Paoletti M, Grimaldi C, Saffioti MC, Monti L, Candusso M, Rollo M, Spada M. Combined endovascular-surgical treatment for complex congenital intrahepatic arterioportal fistula: A case report and review of the literature. World J Hepatol 2020; 12(4): 160-169 [PMID: 32685108 DOI: 10.4254/wjh.v12.i4.160]
World J Hepatol. Apr 27, 2020; 12(4): 160-169 Published online Apr 27, 2020. doi: 10.4254/wjh.v12.i4.160
Combined endovascular-surgical treatment for complex congenital intrahepatic arterioportal fistula: A case report and review of the literature
Roberta Angelico, Guglielmo Paolantonio, Monica Paoletti, Chiara Grimaldi, Maria Cristina Saffioti, Lidia Monti, Manila Candusso, Massimo Rollo, Marco Spada
Roberta Angelico, Monica Paoletti, Chiara Grimaldi, Maria Cristina Saffioti, Marco Spada, Department of Abdominal Transplantation and Hepatobiliary and Pancreatic Surgery, Bambino Gesù Children’s Hospital IRCCS, Rome 00165, Italy
Roberta Angelico, Department of Surgery, Hepato-bilio-pancreatic Surgery and Transplant Unit, University of Rome Tor Vergata, Fondazione PVT, Rome 00133, Italy
Guglielmo Paolantonio, Massimo Rollo, Interventional Radiology Unit, Department of Imaging, Bambino Gesù Children’s Hospital IRCCS, Rome 00165, Italy
Lidia Monti, Department of Imaging, Bambino Gesù Children’s Hospital IRCCS, Rome 00165, Italy
Author contributions: Angelico R, Paolantonio G, Spada M and Rollo M designed research; Candusso M, Paoletti M and Grimaldi G performed research; Saffioti MC, Candusso M and Monti L contributed analytic tools; Angelico R, Paolantoni G and Paoletti M analyzed data; Angelico R and Spada M wrote the paper.
Informed consent statement: Informed consent was obtained from the patient for publication of their information.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Marco Spada, MD, PhD, FEBS, Department of Abdominal Transplantation and Hepatobiliary and Pancreatic Surgery, Bambino Gesù Children’s Hospital IRCCS, Piazza Sant'Onofrio 4, Rome 00165, Italy. marco.spada@opbg.net
Received: October 21, 2019 Peer-review started: October 21, 2019 First decision: November 22, 2019 Revised: February 17, 2020 Accepted: February 23, 2020 Article in press: February 23, 2020 Published online: April 27, 2020 Processing time: 184 Days and 20.7 Hours
Core Tip
Core tip: Complex congenital intrahepatic arterioportal fistula (IAPF) is a rare vascular malformation causing severe portal hypertension, gastrointestinal hemorrhage and ascites in infants, for whom the therapeutic approach is challenging due to the children’s small size and their poor clinical condition. Radiological embolization often isn’t effective for complex lesions due to impossibility to embolize small afferent arterial branches, while surgical treatments (liver resection or liver transplantation) are associated with severe morbidity and mortality. We aimed to present a novel endovascular-surgical hybrid approach in an infant with complex congenital IAFP, providing a literature review on the treatment options and outcomes for congenital IAFP.
