Advantages of time-resolved contrast-enhanced 4D MR angiography in splenic arterial steal syndrome

Verena C Obmann; Majid Chalian; Bahar Mansoori; Edmund Sanchez; Vikas Gulani

doi:10.1016/j.clinimag.2018.03.003

Advantages of time-resolved contrast-enhanced 4D MR angiography in splenic arterial steal syndrome

Clin Imaging. 2018 May-Jun:49:169-173. doi: 10.1016/j.clinimag.2018.03.003. Epub 2018 Mar 7.

Authors

Verena C Obmann¹, Majid Chalian², Bahar Mansoori³, Edmund Sanchez⁴, Vikas Gulani⁵

Affiliations

¹ Department of Radiology, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, OH, United States; Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital Bern, Bern University Hospital, University of Bern, Bern, Switzerland. Electronic address: [email protected].
² Department of Radiology, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, OH, United States.
³ Department of Radiology, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, OH, United States. Electronic address: [email protected].
⁴ Division of Hepatobiliary and Transplant Surgery, University Hospitals Cleveland Medical Center Transplant Institute, Cleveland, OH, United States. Electronic address: [email protected].
⁵ Department of Radiology, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, OH, United States. Electronic address: [email protected].

PMID: 29558712
DOI: 10.1016/j.clinimag.2018.03.003

Abstract

Splenic artery steal syndrome (SASS) is a severe complication affecting up to 10% of orthotopic liver transplant (OLT) patients. In this case report, we present a 35-year-old male with OLT secondary to liver failure due to hemochromatosis, who developed SASS. We describe potential application of different imaging techniques for diagnosis of SASS with focus on the value of time-resolved contrast enhanced 4D magnetic resonance angiography (MRA).

Keywords: Angiography; Hemochromatosis; Liver transplant; MRA; Splenic steal syndrome; TWIST.

Publication types

Case Reports

MeSH terms

Adult
Contrast Media*
Hemochromatosis / complications
Humans
Liver Failure / complications
Liver Failure / pathology
Liver Transplantation / methods
Magnetic Resonance Angiography / methods*
Male
Spleen / blood supply
Splenic Artery / diagnostic imaging*
Splenic Artery / pathology
Syndrome
Vascular Diseases / diagnosis*
Vascular Diseases / diagnostic imaging
Vascular Diseases / etiology

Substances

Contrast Media