Limits...
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

Transjugular venogram A. Patent IVC Stent B. Narrowed portocaval graft.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2648948&req=5

Figure 3: Transjugular venogram A. Patent IVC Stent B. Narrowed portocaval graft.

Mentions: Recanalisation of the left hepatic vein was attempted, but failed owing to the long and fibrous nature of the occlusion. The patient then underwent a side-to-side portocaval shunt using the right external iliac vein as H-graft. Postoperative recovery was uneventful and she was anticoagulated during that time. Six weeks after surgery, she was re-admitted with pedal edema and ascites. Doppler evaluation showed patchy flow through the shunt. Venogram through a transjugular approach revealed patent IVC stent. There was narrowing of the portosystemic graft with a gradient of more than 15 mmHg near its IVC end (Figure 3:A, 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)

Transjugular venogram A. Patent IVC Stent B. Narrowed portocaval graft.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Transjugular venogram A. Patent IVC Stent B. Narrowed portocaval graft.
Mentions: Recanalisation of the left hepatic vein was attempted, but failed owing to the long and fibrous nature of the occlusion. The patient then underwent a side-to-side portocaval shunt using the right external iliac vein as H-graft. Postoperative recovery was uneventful and she was anticoagulated during that time. Six weeks after surgery, she was re-admitted with pedal edema and ascites. Doppler evaluation showed patchy flow through the shunt. Venogram through a transjugular approach revealed patent IVC stent. There was narrowing of the portosystemic graft with a gradient of more than 15 mmHg near its IVC end (Figure 3:A, 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