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Year : 2017  |  Volume : 6  |  Issue : 3  |  Page : 6

Diagnosis and management of a pediatric portacaval shunt: An uncommon cause of cyanosis in children

1 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
2 Department of General Surgery, Imam Khomeini Hospital, Tehran, IR Iran

Correspondence Address:
Mohammad Rafie Khorgam
Rajaie Cardiovascular Medical and Research Center, Vali-Asr St., Niayesh Blvd, Tehran
IR Iran
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Source of Support: None, Conflict of Interest: None

DOI: 10.5812/cardiovascmed.35280

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Introduction: Congenital portosystemic shunts constitute a rare disorder in childhood with a wide spectrum of symptoms and signs, one of which may be cyanosis. Case Presentation: We describe for the first time in Iran a 9-year-old boy with a portacaval shunt presenting with cyanosis. He was diagnosed, managed, and treated successfully. The postoperative period was complicated by portal vein thrombosis, which wasgradually resolved with appropriate treatment. Conclusions: Cyanosis is one of the hallmarks of cardiopulmonary disease; however, as was the case in our patient, a secondary cause of pulmonary disease should be considered. The portacaval shunt is a rare but important cause of cyanosis and should be considered in all patients in whom cyanosis is unexplained.

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