{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:29Z","timestamp":1787758469942,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>ABSTRACT<\/jats:title>\n                    <jats:p>We report an unusual occurrence of multiple splenic artery aneurysms and splenomegaly in a young woman with severe pulmonary hypertension, secondary to a congenital portosystemic shunt (CPS). The splenic artery was occluded using an Amplatzer Duct Occluder-II device, and closure of the large intrahepatic CPS was achieved using a muscular ventricular septal defect occluder. There was resolution of splenomegaly with normal pulmonary artery pressures, a few months after the procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/apc.apc_142_21","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T05:34:02Z","timestamp":1668576842000},"page":"300-303","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Congenital portosystemic shunt with multiple splenic artery aneurysms"],"prefix":"10.4103","volume":"15","author":[{"given":"Anand P.","family":"Subramanian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adaligere Paraswanath","family":"Bharath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashita","family":"Barthur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahimarangaiah","family":"Jayranganath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-14-20240901","doi-asserted-by":"crossref","first-page":"e390","DOI":"10.1111\/j.1440-1746.2007.05156.x","article-title":"Congenital veno-venous malformations of the liver: Widely variable clinical presentations","volume":"23","author":"Witters","year":"2008","journal-title":"J Gastroenterol Hepatol"},{"key":"R2-14-20240901","doi-asserted-by":"crossref","first-page":"527","DOI":"10.2214\/ajr.155.3.2117349","article-title":"Intrahepatic portosystemic venous shunt","volume":"155","author":"Park","year":"1990","journal-title":"AJR Am J 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interventions: Anatomy, indications, technical considerations, and potential complications","volume":"25","author":"Madoff","year":"2005","journal-title":"Radiographics"},{"key":"R7-14-20240901","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s00431-017-3058-x","article-title":"Congenital portosystemic venous shunt","volume":"177","author":"Papamichail","year":"2018","journal-title":"Eur J Pediatr"},{"key":"R8-14-20240901","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1148\/rg.313105070","article-title":"Clinical and radiologic manifestations of congenital extrahepatic portosystemic shunts: A comprehensive review","volume":"31","author":"Alonso-Gamarra","year":"2011","journal-title":"Radiographics"},{"key":"R9-14-20240901","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/s12872-019-1124-1","article-title":"Pulmonary arterial hypertension caused by congenital extrahepatic portocaval shunt: A case report","volume":"19","author":"Lin","year":"2019","journal-title":"BMC Cardiovasc Disord"},{"key":"R10-14-20240901","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1053\/j.gastro.2011.06.053","article-title":"Prevalence of spontaneous portosystemic shunts in patients with portopulmonary hypertension and effect on treatment","volume":"141","author":"Talwalkar","year":"2011","journal-title":"Gastroenterology"},{"key":"R11-14-20240901","first-page":"93","article-title":"Pulmonary arterial hypertension in a patient with a portosystemic shunt: Diagnostic challenge","volume":"4","author":"Stepffer","year":"2020","journal-title":"CASE (Phila"}],"container-title":["Annals of Pediatric 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