Surgical significance of the ductus venosus arantii

Asuncion, Zacarias G.; Silva, Yvan J.

doi:10.1016/0002-9610(71)90360-6

Cited by 11 publications

(7 citation statements)

References 4 publications

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“…They noted a wide fanning of the ligamentous fibers in the adventitia of the large vessels as well as in adjacent structures, such as the peritoneum. The insertion of the LV either in the LHV or at the junction between the LHV and MHV was also confirmed by other studies [Asuncion and Silva, 1971;Majno et al, 2002].…”

Section: Embryology and Anatomysupporting

confidence: 75%

Anatomy of the Ligamentum Venosum Arantii and Its Contribution to the Left Hepatic Vein and Common Trunk Control

Dahmane¹,

Morjane

Ravnik³

et al. 2009

Cells Tissues Organs

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Background: The control of the left hepatic vein (LHV) and the common trunk of the middle hepatic vein (MHV) and LHV (CT) is considered difficult during liver resection and could be improved by detailed knowledge on the ligamentum venosum Arantii (LV). Aim: The aim of this study was to describe the LV and its connections to the LHV and the CT and to present surgical relevance of the obtained data. Material and Methods: During autopsy of 50 cadavers of both sexes, the LV was exposed, measured and then dissected, simulating a surgical maneuver to facilitate the approach to the LHV and CT. The extrahepatic parts of the LHV, MHV and CT were measured. Results: The LV was 52–70 mm long and 5–8 mm thick. It had a fibrotic structure and was not patent in 96% of the cases. The extrahepatic part of the LHV measured 3–19 mm, that of the MHV 3–18 mm and that of the CT 4–15 mm. Conclusion: LV dissection facilitated extraparenchymatous clamping of the hepatic veins: the extrahepatic parts of the LHV and CT measured >3 mm in 86 and 84% of the cases, respectively.

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Section: Embryology and Anatomysupporting

confidence: 75%

Anatomy of the Ligamentum Venosum Arantii and Its Contribution to the Left Hepatic Vein and Common Trunk Control

Dahmane¹,

Morjane

Ravnik³

et al. 2009

Cells Tissues Organs

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“…This finding indicates that such a shunt could develop in the absence of portal hypertension. Conflicting reports on what becomes of the ductus venosus point either to the constant early obliteration of this channel (Fontan, 1911;Ostroverkhov andNikolsky, 1968, Asuncion andSilva, 1971) or to its persistence, with only interruption of its function (Doviner, 1962). The existence of a fully functioning ductus venosus has rarely been reported (Caroli et al, 1951).…”

Section: Discussionmentioning

confidence: 99%

Persistent ductus venosus without portal hypertension in a young alcoholic man

Barjon¹,

Lamarque²,

Michel³

et al. 1972

Gut

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SUMMARY The discovery of a large patent ductus venosus resulted from radiological investigations in a 34-year-old man, a chronic alcoholic of low mental status. Splenoportal and inferior caval venograms were performed because of recent exacerbation of the neurological symptoms and electroencephalographic criteria of portacaval encephalopathy. Portal pressure was 8 mm Hg. A liver scan, a laparoscopy, and a liver biopsy were performed. They showed that the gland was atrophic with a microscopic appearance of alcoholic fibrosis, but without any nodular regeneration. The relationship between the fistula, the mental state, and the atrophic liver is discussed. Such a malformation appears to be very uncommon.Radiological investigations in the diagnosis of liver dysfunction, especially cirrhosis, lead commonly to the discovery of portacaval shunts. Most of these connexions are explained by portal hypertension itself. Yet, in some cases, the anastomotic veins have an unusual topography, either splenorenal or umbilical, and it is reasonable to assume the preexistence of a spontaneous portacaval derivation.We recently observed a case of a large portacaval fistula with the radiological configuration of a persistent ductus venosus. Case ReportA 34-year-old man, a contruction worker of Italian origin, was admitted to the Montpellier University Hospital in March 1970 because of psychiatric symptoms of a few weeks' duration. He was a known alcoholic and these symptoms were at first related to his drinking. However, initial examination revealed a flapping tremor. The patient exhibited alternately indifference and agitation, and he became somnolent for a few days; normal consciousness reappeared rapidly and objective examination confirmed mental subnormality which probably preceded the recent psychiatric disturbance. Physical examination revealed no ascites or collateral circuPlease address requests for reprints to: Dr Paul Barjon, Cliniques Saint-Charles,

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“…At birth, the DV can be identified in the neonate by sonography, and has a diameter ranging from 1 to 2 mm 1) . In most infants, the DV closes within 1-2 weeks, though its tract in the ligamentum venosus may remain until adult life 15,16) . An anomalously dilated DV larger than 4 mm in diameter is rarely seen with or without cardiac anomaly (5 such cases among 293 infants under 10 weeks of age with patent DV were reported by Farrant) 2) .…”

Section: Discussionmentioning

confidence: 99%

Transvenous Embolization of Patent Ductus Venosus in Two Adult Cases

2009

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Although the patent ductus venosus is congenital, the symptoms due to hyperammonemia vary, possibly depending on the shunt ratio and individual tolerance to ammonia. We have experienced two adult patients with large caliber patent ductus venosus and compensated liver cirrhosis. In one case, the ductus venosus simply communicated to the portal vein, but in the other case there were multiple short communicating vessels between the ductus venosus and left portal vein. Both cases were successfully treated by the transvenous embolization with steel coils and ethanolamine oleate, which has an expansive nature.

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Surgical significance of the ductus venosus arantii

Cited by 11 publications

References 4 publications

Anatomy of the Ligamentum Venosum Arantii and Its Contribution to the Left Hepatic Vein and Common Trunk Control

Anatomy of the Ligamentum Venosum Arantii and Its Contribution to the Left Hepatic Vein and Common Trunk Control

Persistent ductus venosus without portal hypertension in a young alcoholic man

Transvenous Embolization of Patent Ductus Venosus in Two Adult Cases

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