Treatment of Budd-Chiari syndrome by metallic stent as a bridge to liver transplantation |
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Authors: | Laurent Martin Robert F. Dondelinger Geneviève Trotteur |
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Affiliation: | (1) Department of Medical Imaging, University Hospital Sart Tilman, Domaine Universitaire du Sart Tilman B35, B-4000 Liège 1, Belgium |
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Abstract: | A 49-year-old male with Budd-Chiari syndrome complicated by liver cirrhosis and intractable ascites is reported. The left hepatic vein was stenosed by a short subocclusive ostial web; the right and medial hepatic veins were thrombosed. A spontaneous intrahepatic portosystemic shunt had developed between the left portal and left hepatic veins. After ineffective balloon angioplasty, the left hepatic venous outflow was restored by placement of a 10-mm-diameter Wallstent across the web via a femoral approach. The hepatic venous pressure dropped from 29 to 12 mmHg. Rapid clinical improvement followed. The patient underwent liver transplantation 3 months later in stable condition. |
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Keywords: | Hepatic veins, thrombosis Transluminal angioplasty Stents Budd-Chiari syndrome |
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