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Transhepatic venous collaterals in a patients with the Budd-Chiari syndrome
Authors:Paul L. Redmond M.B.  Saadoon Kadir  John L. Cameron
Affiliation:(1) The Russell H. Morgan Department of Radiology and Radiologic Sciences, the Johns Hopkins Medical Institutions, Baltimore, Maryland, USA;(2) Department of Surgery, the Johns Hopkins Medical Institutions, Baltimore, Maryland, USA;(3) Present address: Department of Radiology, University of Colorado Health Sciences Center, 80262 Denver, CO, USA;(4) Present address: Department of Radiology, Duke University Medical Center, 27710 Durham, NC, USA
Abstract:A patient with large transhepatic venous collaterals between the right and middle hepatic veins bypassing a short inferior vena caval occlusion is described. Obstruction of the hepatic veins led to the development of the Budd-Chiari syndrome, ascites, and crural edema. A mesoatrial shunt was performed which resulted in complete recovery.
Keywords:Collaterals, hepatic, venous  Budd-Chiari syndrome, portal hypertension  Ultrasonography, mesoatrial shunt
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