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CASE REPORT
Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 42-44

A rare and curable cause of cyanosis – Congenital portosystemic shunts


Department of Cardiology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Correspondence Address:
Dr. Balasubramaniyan Amirtha Ganesh
Department of Cardiology, Mahatma Gandhi Medical College and Research Institute, 1st Floor, E Block, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCPC.JCPC_50_20

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Congenital portosystemic shunts (CPSSs) are rare developmental vascular anomalies which are classified into extrahepatic and intrahepatic malformations. Here, we report a 7-year-old girl who presented with a history of progressive dyspnea, pandigital cyanosis, and clubbing. On evaluation, she was found to have a rare combination of both type II extrahepatic and intrahepatic portosystemic shunts which were closed endovascularly in the same setting. Diagnosis of CPSS needs a very high index of clinical suspicion. Timely diagnosis with specific imaging modalities will help in deciding the treatment strategy and may prevent long-term complications.


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