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

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 trans...

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Bibliographic Details
Published in:Cases journal 2009-01, Vol.2 (1), p.1-1, Article 1
Main Authors: Doctor, Nilesh, Gandhi, Vidhyachandra, Shah, Sharad, Hussain, Maharra, Marar, Shaji, Philip, Sujith
Format: Article
Language:English
Subjects:
Anastomosis
Care and treatment
Case Report
Case studies
Diagnosis
Health aspects
Hepatic vein thrombosis
Risk factors
Surgical anastomosis
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Summary: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. 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. At five years, she remains asymptomatic, with normal liver functions, no ascites, and normal flow through the stent on Colour Doppler examination.
ISSN:1757-1626
1757-1626
DOI:10.1186/1757-1626-2-1