Document Detail


Budd-Chiari and inferior caval vein syndromes due to membranous obstruction of the liver veins: successful treatment with angioplasty and transcaval transjugular intrahepatic porto-systemic shunt.
MedLine Citation:
PMID:  15513347     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case is presented of a 25-year-old Caucasian patient with Budd-Chiari syndrome due to membranous obstruction of the liver veins and inferior caval vein syndrome as a result of secondary hyperplasia of the caudate lobe of the liver, obstructing the caval vein. Diagnosis was established by intravascular pressure measurements, ultrasound examinations and caval and liver vein angiograms. Treatment consisting of stent placement in the outlet of a hepatic vein and subsequent transjugular intrahepatic porto-systemic shunt (TIPS) insertion via the caval vein was successful. After 34 months of follow-up the stents remain open and the patient is symptom free. This successful combination of stent placement and TIPS has not been described before. The case report is followed by a review of the literature on the use of angioplasty in short hepatic vein stenosis and TIPS in Budd-Chiari syndrome. It is concluded that angioplasty and TIPS are safe and efficient procedures to reduce liver engorgement and complications of portal hypertension in selected patients with Budd-Chiari syndrome.
Authors:
P Holland-Fischer; H Grønbaek; L Astrup; S Keiding; D Tønner Nielsen; H Vilstrup
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Scandinavian journal of gastroenterology     Volume:  39     ISSN:  0036-5521     ISO Abbreviation:  Scand. J. Gastroenterol.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-29     Completed Date:  2005-02-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0060105     Medline TA:  Scand J Gastroenterol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1025-8     Citation Subset:  IM    
Affiliation:
Department of Medicine V, Aarhus University Hospital, Denmark. phfis@akh.aaa.dk
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Angioplasty / methods*
Budd-Chiari Syndrome / radiography,  surgery*
Combined Modality Therapy
Female
Follow-Up Studies
Hepatic Veins / physiopathology*,  radiography
Humans
Portasystemic Shunt, Transjugular Intrahepatic / methods*
Risk Assessment
Severity of Illness Index
Syndrome
Treatment Outcome
Vascular Patency
Vena Cava, Inferior / physiopathology*,  radiography,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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