Figure 2.

First angiography and endovascular embolization of the congenital intrahepatic arterioportal fistula. Initial endovascular treatment of the malformation (digital subtraction angiograms). A and B: Angiograms from the superior mesenteric artery show dilated and tortuous dysplastic arteries (black arrows) that converged into the left aneurismal portal vein through one Y-shaped fistula within the Rex recess (black arrow head); C: Superselective catheterisation of a distal branch of the left phrenic artery that shows the additional shunt (white arrow head) into the venous aneurism; D: Embolisation of the shunts with glue and coils with glue cast; E and F: Angiographic control images from celiac trunk (E) and superior mesenteric artery (F) that show persistent patency of the fistula after the embolisation. c: Coils; gl: Glue; lga: Left gastric artery; lpa: Left phrenic artery; sma: Superior mesenteric artery; sa: Splenic artery.