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Transhepatic Intrajugular
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Shunt Procedure
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Elevated A-a
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Shunting
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Portosystemic Shunt
Portosystemic Gradient
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3 mmHg
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Shunts in Cirrhosis
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of Approximately 10 mmHg
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Collateral Pathways
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Portal Pressure = Hepatic Vein Pressure Gradient (HV…
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A-a gradient calculation
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Portosystemic Shunts in 3 minutes.
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