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Stent angioplasty of narrowed portocaval shunt in Budd Chiari syndrome: a case report.

Doctor N, Gandhi V, Shah S, Hussain M, Marar S, Philip S - Cases J (2009)

Bottom Line: Early decompression is needed to prevent liver dysfunction and death.Radiological intervention includes angioplasty of stenosis and webs and the placement of transjugular intrahepatic portosystemic shunts (TIPPS).At five years, she remains asymptomatic, with normal liver functions, no ascites, and normal flow through the stent on Colour Doppler examination.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Gastrointestinal Surgery, Jaslok Hospital & Research Centre, Mumbai, India. drnileshbela@gmail.com.

ABSTRACT

Background: Hepatic vein thrombosis (Budd-Chiari Syndrome) is a rare disorder resulting from an obstruction to the outflow of blood from the liver. Early decompression is needed to prevent liver dysfunction and death. Radiological intervention includes angioplasty of stenosis and webs and the placement of transjugular intrahepatic portosystemic shunts (TIPPS). Side-to-side portacaval shunt (SSPCS) remains the gold standard for achieving good long-term results.

Case presentation: A 37-year old lady underwent side-to-side portacaval shunt for Budd Chiari syndrome. She had early shunt blockage and this was successfully treated with the placement of a metallic stent across the shunt.

Conclusion: At five years, she remains asymptomatic, with normal liver functions, no ascites, and normal flow through the stent on Colour Doppler examination.

No MeSH data available.


Related in: MedlinePlus

A. Narrowed IVC with non visualization of hepatic veins. B. IVC stent in situ.
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Figure 1: A. Narrowed IVC with non visualization of hepatic veins. B. IVC stent in situ.

Mentions: Transjugular venogram showed 90% narrowing of the IVC with a 14 mmHg gradient across the narrowing and non-visualization of the hepatic veins beyond their origins. The hepatic veins could not be cannulated, suggestive of complete occlusion at the ostia. (Figure 1:A). An 18 × 63 mm WALL STENT was placed across the narrowed segment in the IVC followed by balloon dilatation using a 16 mm balloon (Figure 1:B).


Stent angioplasty of narrowed portocaval shunt in Budd Chiari syndrome: a case report.

Doctor N, Gandhi V, Shah S, Hussain M, Marar S, Philip S - Cases J (2009)

A. Narrowed IVC with non visualization of hepatic veins. B. IVC stent in situ.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2648948&req=5

Figure 1: A. Narrowed IVC with non visualization of hepatic veins. B. IVC stent in situ.
Mentions: Transjugular venogram showed 90% narrowing of the IVC with a 14 mmHg gradient across the narrowing and non-visualization of the hepatic veins beyond their origins. The hepatic veins could not be cannulated, suggestive of complete occlusion at the ostia. (Figure 1:A). An 18 × 63 mm WALL STENT was placed across the narrowed segment in the IVC followed by balloon dilatation using a 16 mm balloon (Figure 1:B).

Bottom Line: Early decompression is needed to prevent liver dysfunction and death.Radiological intervention includes angioplasty of stenosis and webs and the placement of transjugular intrahepatic portosystemic shunts (TIPPS).At five years, she remains asymptomatic, with normal liver functions, no ascites, and normal flow through the stent on Colour Doppler examination.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Gastrointestinal Surgery, Jaslok Hospital & Research Centre, Mumbai, India. drnileshbela@gmail.com.

ABSTRACT

Background: Hepatic vein thrombosis (Budd-Chiari Syndrome) is a rare disorder resulting from an obstruction to the outflow of blood from the liver. Early decompression is needed to prevent liver dysfunction and death. Radiological intervention includes angioplasty of stenosis and webs and the placement of transjugular intrahepatic portosystemic shunts (TIPPS). Side-to-side portacaval shunt (SSPCS) remains the gold standard for achieving good long-term results.

Case presentation: A 37-year old lady underwent side-to-side portacaval shunt for Budd Chiari syndrome. She had early shunt blockage and this was successfully treated with the placement of a metallic stent across the shunt.

Conclusion: At five years, she remains asymptomatic, with normal liver functions, no ascites, and normal flow through the stent on Colour Doppler examination.

No MeSH data available.


Related in: MedlinePlus