Fig. 7
Manifestations of Hepatic Vascular Malformation Shunts. Hepatic artery to hepatic vein shunts can result in biliary ischemia and necrosis due to the single blood supply to the biliary system from the peribiliary plexus via the hepatic artery. Shunting to the hepatic vein such as through hepatic artery to hepatic vein shunting and portal vein to hepatic vein shunting, contribute to high output heart failure. Hepatic artery to portal vein shunts leads to portal hypertension