Budd-Chiari syndrome due to hepatic venous web outflow obstruction: percutaneous treatment with balloon angioplasty

The Budd-Chiari syndrome is a rare hepatic venous disease. It is more prevalent in young adults and may present in acute, subacute, or chronic forms, causing portal hypertension. Traditional treatment consists of thrombolysis techniques and transjugular intrahepatic portosystemic shunt, as a bridge...

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Bibliographic Details
Published in:Jornal vascular brasileiro 2021-08, Vol.20
Main Authors: Metzger, Patrick Bastos, Costa, Kamilla Rosales, Silva, Simone Lessa e, dos Santos, Valter Ribeiro, Nunes, Vinicius, Freire, Murilo Quadro Berbert, Mello, Milton Oliveira de Albuquerque
Format: Article
Language:English
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Case Report
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Summary:The Budd-Chiari syndrome is a rare hepatic venous disease. It is more prevalent in young adults and may present in acute, subacute, or chronic forms, causing portal hypertension. Traditional treatment consists of thrombolysis techniques and transjugular intrahepatic portosystemic shunt, as a bridge to liver transplantation. Recently, use of balloon or stent angioplasty techniques has been reported for treatment of this condition. In this article, we report and discuss a case of BCS by membranous obstruction in the hepatic vein outflow tract, with middle hepatic vein thrombosis, in a 24-year-old patient. The treatment chosen and employed was transjugular balloon angioplasty, which achieved satisfactory results and good clinical evolution.
ISSN:1677-5449
1677-7301
DOI:10.1590/1677-5449.200133