Type II Abernethy malformation presenting with heart failure: A case report
Congenital extrahepatic portosystemic shunt (CEPS), known as Abernethy malformation, is a rare vascular anomaly involving aberrant communication between the portal vein (PV) and the inferior vena cava (IVC). In this case, a 51-year-old man with chronic comorbidities presented primarily with symptoms of heart failure rather than hepatic dysfunction. Following endovascular coil embolization of the shunt, the patient's heart failure symptoms improved significantly. This report outlines the diagnostic process and treatment strategy, highlighting the safety and feasibility of a single-session embolization in patients without elevated portal pressure.
Authors
- Yongshi Wang (ORCID: https://orcid.org/0000-0002-7851-1623)
- Wei Chen (ORCID: https://orcid.org/0000-0003-1625-9730)
- Jiaze Yu (ORCID: https://orcid.org/0000-0002-3225-1467)
- Jianjun Luo (ORCID: https://orcid.org/0000-0003-4942-0439)
- Yan Zhiping
- Xiaolin Wang (ORCID: https://orcid.org/0000-0002-1921-8566)
- Yi Chen (ORCID: https://orcid.org/0000-0002-2212-4579)
- Yanan Gu (ORCID: https://orcid.org/0009-0000-7908-585X)
- Liangwen Wang
Institutions
- Shanghai Medical College of Fudan University (CN)
- Sun Yat-sen University (CN)
- Fudan University (CN)
- Zhongshan Hospital (CN)
- The First Affiliated Hospital, Sun Yat-sen University (CN)
Publication Details
- Journal
- Radiology Case Reports
- Published
- 2025-09-24
- DOI
- https://doi.org/10.1016/j.radcr.2025.09.024
- Primary Topic
- Congenital Diaphragmatic Hernia Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00