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Embolization of the Patent Ductus Venosus in an Adult Patient

Takuji Araki1, Toshiyuki Konishi2, Shinichiro Yasuda2, Takanori Osada2 and Tsutomu Araki1

1 Department of Radiology, Yamanashi Medical University, 1110 Shimokato, Tamaho, Nakakoma-gun, Yamanashi, 4093898, Japan.
2 Department of Internal Medicine, Kofu Kyoritsu Hospital, 1-9-1 Takara, Kofu-city, Yamanashi, 400-0034, Japan.



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  		Fig. 1A. —45-year-old woman with patent ductus venosus. Contiguous contrast-enhanced CT scans with 10-mm slice thickness reveal abnormal vein (arrow, A) connecting large left portal vein to inferior vena cava through fissure for ligamentum venosum.

 


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  		Fig. 1B. —45-year-old woman with patent ductus venosus. Contiguous contrast-enhanced CT scans with 10-mm slice thickness reveal abnormal vein (arrow, A) connecting large left portal vein to inferior vena cava through fissure for ligamentum venosum.

 


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  		Fig. 1C. —45-year-old woman with patent ductus venosus. Portogram obtained through superior mesenteric artery reveals abnormal vein (arrow) following dilated left portal vein and narrow right portal vein. Shunt near umbilical portion of left portal vein appears to be aneurysmal.

 


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  		Fig. 1D. —45-year-old woman with patent ductus venosus. Radiographic fluorogram shows transcatheter embolization using detachable microcoils and temporary balloon occlusion. Note inflated balloon (arrows).

 


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  		Fig. 1E. —45-year-old woman with patent ductus venosus. Arterial portogram obtained 3 months after treatment reveals shunt to be completely occluded and portal vein branches to be normally wide.

 

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