Dear Antonio and colleagues,
What about the current anticoagulation treatment of this patient? Recanalisation of the splenic vein seems very important (with or without stent) to decrease portal pressure in the left/splenic sector.
Since the portal circulation is patent, as well as the TIPS, in case of failure of recanalisation of the splenic vein, splenectomy should be discussed.
Looking forward to the opinion of others.
Kind regards
Andrea
