Figure 2 (A-E).

A 36-year-old female presented with encephalopathy. Axial CT image in portal phase (A) shows the anterior branch of the right portal vein joining with the right hepatic vein (black arrow). Portogram (B) showing venous sac connecting the portal vein (white arrow) with the right hepatic vein (black arrow) (C) Introduction of the Amplatz vascular device (arrow) through 6F vascular sheath (D) Deployment of metallic coils (arrow) proximal to the Amplatz occluder device. Post embolization angiogram (E) showing occlusion of the portosystemic venous shunt