Predisposing Factors for Spontaneous Closure of Congenital Portosystemic Shunts.

Paganelli, Massimiliano; Lipsich, José E; Sciveres, Marco; Alvarez, Fernando · J Pediatr · 2015

case_series · Level IV

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Abstract

In a review of 382 cases of congenital portosystemic shunt, we found that presentation with neonatal cholestasis strongly predicts spontaneous closure of intrahepatic shunts (OR 8.3, 95% CI 3.4-20.2). Spontaneous closure before the 24th month of age is more likely for distal or multiple shunts, but rare for patent ductus venosus.

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