Fig. 2
A middle-aged man with end-stage liver disease, hepatitis C, recurrent ascites, and isolated persistent left superior vena cava. a Left internal jugular venography demonstrating the isolated persistent left superior vena cava (solid arrow). b Perpendicular-projecting intravascular ultrasound-guided access to the right portal vein (solid arrow). c Portal venography was performed. d A 10-mm × 6-cm (covered) / 2-cm (uncovered) Viatorr stent-graft was deployed (solid arrow) resulting in widely patent TIPS. A perpendicular-projecting intravascular ultrasound probe (dashed arrow) is shown