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. 2021 Nov 18;4:79. doi: 10.1186/s42155-021-00267-x

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© The Author(s) 2021

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 2 — Multistage closure of a type II congenital extrahepatic portosystemic shunt. A) and B) In the first procedure an atrial septal defect plug (white arrowhead) was deployed in the shunt after a transjugular intrahepatic portosystemic shunt creation (white arrow) between the middle hepatic vein (HV) and the right portal vein (PV). C) During the second procedure, a balloon occlusion portal venography was performed after the deployment of a flow restrictor stent (black asterisk). There was an 8 mmHg portal pressure increase to 14 mmHg. D) As portal pressure remained low, the TIPS was ultimately closed using a vascular plug (white asterisk)