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- Title
Two--Step Procedure in Budd--Chiari Syndrome With Severe Intrahepatic Vena Cava Stenosis: Vena Cava Stenting and Portocaval Shunt.
- Authors
Oldhafer, K. J.; Frerker, M.; Prokop, M.; Lang, H.; Böker, K.; Pichlmayr, R.
- Abstract
Budd-Chiari syndrome is characterized by hepatic venous outflow obstruction, which often leads to death as a result of portal hypertension and liver failure. Venous decompressive shunt surgery and liver transplantation represent efficient surgical treatments of Budd-Chiari syndrome. In the case presented here, severe intrahepatic compression of the inferior vena cava (IVC) was caused by the hypertrophic caudate lobe. A mere portocaval shunt was not feasible because of a large pressure gradient across the intrahepatic stenosis. A two-step procedure with preoperative radiological dilation and stenting of the intrahepatic IVC followed by a portocaval shunt was successfully performed. Consequently, liver transplantation and its subsequent immunosuppression could be avoided.
- Subjects
SYNDROMES; PORTAL hypertension; LIVER failure; PULMONARY vein abnormalities; LIVER transplantation; VENA cava inferior; PORTACAVAL anastomosis; IMMUNOSUPPRESSION
- Publication
American Journal of Gastroenterology (Springer Nature), 1998, Vol 93, Issue 7, p1165
- ISSN
0002-9270
- Publication type
Article
- DOI
10.1111/j.1572-0241.1998.363_u.x