Portal venous-systemic venous shunting of blood impairs delivery of portal substances to the liver. Shunting of this sort can occur as a result of congenital vascular anomalies (portosystemic shunts or portosystemic vascular anomalies, microvascular dysplasia), congenital defects in ductal plate formation (resulting in acquired shunts [Pilai et al 2016]) or secondary to acquired defects, such … Continue reading Portal blood flow