Clinical manifestations:
The hepatic artery hypoperfusion leads to a nonspecific hepatic dysfunction which is detected by elevated liver enzymes in the acute stage (less than 2 months) (7). However, patients often present with other complications such as ascites 2 months after the procedure, which is considered an overt sign of hepatic dysfunction (2). Cholestasis, biliary ischemia, and hypersplenism are also possible complications of SASS (1,4,10). Overall, the clinical features of SASS are not consistent, and patients can range from being asymptomatic to having acute liver failure (3).