Balloon dilatation of inferior vena cava obstruction in budd-chiari syndrome

1993 ◽  
Vol 16 (4) ◽  
pp. 360-361
Author(s):  
Sydney G. Short ◽  
Liu Jian ◽  
Li Ruijie
1998 ◽  
Vol 6 (2) ◽  
pp. 141-142
Author(s):  
Hemant Pramod Pathare ◽  
Reshma Manoj Biniwale

Membranous obstruction of the inferior vena cava is a rare congenital anomaly that results in the primary type of Budd-Chiari syndrome. We describe the case of an 8-year-old boy initially diagnosed with intrahepatic portal hypertension, who underwent percutaneous transluminal balloon dilatation of an inferior vena cava membrane located in the suprahepatic inferior vena cava, which resulted in successful palliation of his symptoms.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Maja Strozzi ◽  
Kristina Maric Besic ◽  
Knezevic Stromar Ivana ◽  
Anić Darko

Abstract Background Budd-Chiari syndrome is defined as a hepatic venous outflow track obstruction of various etiology, which appears at different levels. The inferior vena cava outflow membrane is an unusual, but a potentially treatable cause. The percutaneous treatment has emerged as a very promising management mode for such patients. Follow-up results are favorable for balloon angioplasty and/or stenting, with minimal re-stenosis rates. Case presentation We report a case of a young woman, earlier operated on congenital heart defect and with previous pulmonary embolic incident after childbirth, with no evidence of thrombophilia. She was admitted to our institution for a suspected right atrial tumor. After the diagnosis of Budd-Chiari syndrome caused by membranous inferior vena cava obstruction, a percutaneous treatment of a thick membrane was successfully performed, using an unusual technique. Conclusion Balloon angioplasty should be considered in cases of membranous obstruction of vena cava, where a focal obstruction is causing the symptoms. In our patient, the anatomy was not suitable for stenting, and balloon dilatation was successful just after the membrane was pulled apart with a big balloon in a “Rashkind-like” procedure.


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