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Figure 1a.  (a) Drawing illustrates the afferent gastric veins, any of which has the potential to form a gastric varix. GEV = gastroepiploic vein, LGV = left gastric vein, PGV = posterior gastric vein, SGV = short gastric vein. (b) Splenic venogram shows cardiac gastric varices from the left gastric vein. Note the drainage into the esophageal veins. (c) Splenic venogram demonstrates fundal gastric varices from the posterior gastric vein. (d) Superior mesenteric venogram shows large gastric varices that developed after left gastric vein-inferior vena cava shunt placement. The varices are supplied by the gastroepiploic vein.