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Knowledge in the field of vascular liver disease is continuously expanding. The present update will discuss recent data on i) the Abernethy malformation in adults; ii) portal vein thrombosis in cirrhosis; iii) advancing expertise in recanalization of the portal vein and iv) experience in using direct oral anticoagulants in the field of vascular liver disease. © 2020 John Wiley Sons A/S. Published by John Wiley Sons Ltd.Portal hypertension is defined as increased pressure in the portal venous system. The most common cause of