Fig. 2
From: Multistage closure of a congenital extrahepatic portosystemic shunt
Multistage closure of a type II congenital extrahepatic portosystemic shunt. A) and B) In the first procedure an atrial septal defect plug (white arrowhead) was deployed in the shunt after a transjugular intrahepatic portosystemic shunt creation (white arrow) between the middle hepatic vein (HV) and the right portal vein (PV). C) During the second procedure, a balloon occlusion portal venography was performed after the deployment of a flow restrictor stent (black asterisk). There was an 8 mmHg portal pressure increase to 14 mmHg. D) As portal pressure remained low, the TIPS was ultimately closed using a vascular plug (white asterisk)