Direct Intrahepatic Portosystemic Shunt in Budd-Chiari Syndrome: A Case Report and Review of the Literature

Figure 1

(a) Initial venography of right hepatic venous system. Note parenchymal blush and opacification of the hepatic veins and portal venous system. (b) Venography following distal placement of the guidewire. Note the guidewire is now within the portal venous system. Parenchymal blush can be seen as well as opacification of the hepatic venous system and multiple collaterals leading, from the hepatic venous system to the portal system.

(a)

(b)