Portosystemic Shunt Occlusion as Treatment for Recurrent Hepatic Encephalopathy- Meet Patel

Introduction: Congestive hepatopathy promotes susceptibility to ammonia (NH4) accumulation through multiple mechanisms but markedly from decreased hepatic flow/clearance secondary to increased portal pressures. Hyperammonemia can manifest as hepatic encephalopathy (HE) and can be challenging to manage medically with the progression of heart failure and potential cirrhosis.
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