1Ravi Gadahadh


To familiarise with the clinical features, presentation and management of Pediatric Congenital Porto-systemic Shunt (Abernathy Malformation)

Material(s) and Method(s):

Endovascular therapy is the mainstay treatment in the management of Congenital porto-systemic shunt .We will present cases showing the step and precautions to be undertaken prior to closure of a porto-systemic shunt..


We will present two contrasting cases highlighting the clinical and technical challenges in closing a porto-systemic shunt.

A simplified treatment algorithm will be presented to aid in management of such complex cases.


Congenital porto-systemic shunts in pediatric age group have varied presentations.Treatment of this complex condition is paramount to prevent long term complications.

Safe closure of the shunt can be performed using an endo-vascular approach.