Patent With Hepatopetal Flow In Broward
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Hepatopetal denotes flow of blood towards the liver, which is the normal direction of blood flow through the portal vein. The term is typically used when discussing the portal vein or recanalized vein of the ligamentum teres in patients with suspected portal hypertension.
A normal portal venous flow is hepatopetal. A flow reversal (or a hepatofugal flow) is seen in the case of portal hypertension (Fig. 6).
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Hepatopetal denotes flow of blood towards the liver, which is the normal direction of blood flow through the portal vein. The term is typically used when discussing the portal vein or recanalized vein of the ligamentum teres in patients with suspected portal hypertension. It is the opposite of hepatofugal.
If the vein compresses, this confirms that the vein is open and patent. If the vein does not compress and debris is seen within the vein, this confirms the presence of a blood clot or obstruction of the vein accounting for the patient's symptoms.
Patent track sign is a finding on color Doppler ultrasound, representing blood traveling along the course a biopsy needle track. It can occur after a biopsy of any organ, but is more often seen after liver or kidney biopsies.
The portal vein should have constant forward flow into the liver (hepatopetal). If there is flow reversal, this is hepatofugal (tip:Fugitive=run away) and represents portal hypertension.
Hepatopedal is found nowhere in the legitimate lexicon. It needs no con- fusion with the correct term, hepatopetal.
The overall mortality rate of the patients with hepatofugal portal venous flow was 26.67% (95% confidence interval, 11.1%–42.9%). Causes of death were multiorgan failure with septic or hypovolemic shock (n = 5), hepatic failure (n = 2), and cardiac failure (n = 1).
