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https://www.readbyqxmd.com/read/27788809/hepatic-venous-and-inferior-vena-cava-morphology-no-longer-a-barrier-to-living-donor-liver-transplantation-for-budd-chiari-syndrome-surgical-techniques-and-outcomes
#1
H Pahari, R J Chaudhary, S Thiagarajan, V Raut, R Babu, P Bhangui, S Goja, A Rastogi, V Vohra, A S Soin
BACKGROUND: Living donor liver transplantation (LDLT) for Budd-Chiari syndrome (BCS) has been reported with <10 inferior vena cava (IVC) replacements with vascular/synthetic graft. The goal of this study was to review outcomes of LDLT for BCS at our center, with an emphasis on surgical techniques and postoperative anticoagulation therapy. METHODS: Between October 2011 and December 2015, a total of 1027 LDLTs were performed. Nine of these patients had BCS. We analyzed their etiologies, operative details, postoperative complications, and outcomes...
October 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/26491527/budd-chiari-syndrome-and-renal-arterial-neurysms-due-to-behcet-disease-a-rare-association
#2
Abdussamet Batur, Meltem Dorum, Hasan Ali Yüksekkaya, Osman Koc
Behcet's disease is a multisystemic vasculitis of unknown etiology with a chronic relapsing course. Vasculitis in Behcet's disease with predominant vascular involvement is the only vasculitis that affects both arteries and veins of any size. Involvement of the renal artery and inferior vena cava is rare among the arteries and veins, respectively. When disease affect the veins, it is in the form of thrombosis. Arterial complications include aneurysms, stenosis and occlusions. Both rupture of arterial aneurysm and occlusion of suprahepatic veins, causing Budd-Chiari syndrome, are associated with a high mortality rate...
2015: Pan African Medical Journal
https://www.readbyqxmd.com/read/26155275/endovascular-stenting-of-the-inferior-vena-cava-in-a-patient-with-budd-chiari-syndrome-and-main-hepatic-vein-thrombosis-a-case-report
#3
Young-In Yoon, Shin Hwang, Gi-Young Ko, Tae-Yong Ha, Gi-Won Song, Dong-Hwan Jung, Young-Sang Lee, Sung-Gyu Lee
Endovascular stenting is accepted as an effective treatment for patients with Budd-Chiari syndrome (BCS). We herein present a case of successful endovascular treatment. A 46-year-old woman, who was followed up for 10 years after a diagnosis of BCS, showed progression progressive of liver cirrhosis and deterioration deteriorated of liver function. Three main hepatic veins were thrombosed with complete occlusion of the suprahepatic of the inferior vena cava (IVC); thus, hepatic venous blood flow was draining into the inferior right hepatic veins through the intrahepatic collaterals and passed passing through the subcutaneous venous collaterals...
February 2015: Korean Journal of Hepato-biliary-pancreatic Surgery
https://www.readbyqxmd.com/read/25910313/liver-abscesses-with-venous-extension-rare-complication-of-a-common-problem
#4
Hira Lal, Anuj Thakral, Manohar Lal Sharma, Tarun Kumar
Considering the high incidence of amoebic and pyogenic liver abscess in the developing world, occurrence of inferior vena cava thrombosis secondary to liver abscess is a rare but life threatening complication. We report 4 such complicated cases of liver abscess(s). The first case involved a large caudate lobe abscess extending across middle hepatic vein into suprahepatic inferior vena cava (IVC). Development of a left hepatic artery pseudoaneurysm following attempted percutaneous aspiration highlights the difficulties encountered in percutaneous interventional management of caudate lobe abscesses...
December 2014: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/25631939/clinical-outcomes-related-to-the-level-of-clamping-in-inferior-vena-cava-surgery
#5
Heungman Jun, Youngjin Han, Hojong Park, Sung Shin, Yong-Pil Cho, Tae-Won Kwon
OBJECTIVE: In most cases of inferior vena cava (IVC) surgery, IVC clamping is required owing to several factors, including renal cell carcinoma with IVC thrombus extension and IVC leiomyosarcoma. Various clinical results were compared following IVC clamping by classifying clamping levels into juxtarenal, infrahepatic, and suprahepatic. In particular, the risk factors of postoperative thrombosis after IVC clamping were assessed comparatively. METHODS: Eighty-four patients who underwent IVC clamping owing to IVC pathology between 2002 and 2012 were retrospectively reviewed with regard to RBC transfusion, operation time, clamping time, liver and kidney functions, duration of hypotension, blood pressure (BP) drops, pulmonary thromboembolism (PTE), venous thrombosis, ICU stay duration, hospital stay duration, 30-day morbidity, and 30-day mortality...
May 2015: World Journal of Surgery
https://www.readbyqxmd.com/read/25367480/refractory-hypoxemia-in-a-23-year-old-patient-with-budd-chiari-syndrome
#6
Jeroen J H Bunge, Ubbo S Wiersema, Adriaan Moelker, Jasper van Bommel, Eric T T L Tjwa
Antiphospholipid syndrome is an autoimmune disorder characterized by a hypercoagulable state, leading to arterial and venous thrombosis. We present a 23-year-old patient, suspected of having Budd-Chiari syndrome due to antiphospholipid syndrome, who developed severe and progressive hypoxemia, requiring prolonged mechanical ventilation. After a detailed but unsuccessful workup, a contrast CT scan revealed an occluded superior vena cava and azygos vein-superior vena cava junction and massive right-to-left shunting through a network of systemic to pulmonary venous collaterals...
November 2014: Chest
https://www.readbyqxmd.com/read/25155487/an-uncommon-case-of-hepatopulmonary-amoebiasis
#7
Catarina Patrício, Patrícia Amaral, João Lourenço
Amoebiasis is an uncommon infection in developed countries caused by the protozoan Entamoeba histolytica. Amoebic liver abscess is the most frequent extraintestinal presentation of the disease; pleuropulmonary involvement is rare, occurring mostly by rupture of the abscess into the pleural space or lung parenchyma. We describe a case of a 48-year-old migrant from São Tomé e Príncipe, with fever, wasting, dry cough and right upper abdominal pain for the past 2 months. The CT scan revealed a voluminous liver abscess with thrombosis of the right suprahepatic and inferior vena cava, right pulmonary lobar abscess and multiple diffuse condensations in both lungs...
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24721000/-recurrent-deep-vein-thrombosis-and-myeloproliferative-syndrom-emergence-of-jak2-mutation-five-years-after-the-initial-event
#8
A Salort, C Seinturier, L Molina, P Lévèque, B Imbert, G Pernod
JAK 2 mutation is the molecular event responsible for 95% of polycythemia cases and 50% of thrombocythemia vera and myelofibrosis cases. It can be used as a tool for the diagnosis of myeloproliferative disorders. We report a case illustrating the fact that a negative result does not definitively eliminate the diagnosis. A 40-year old woman, with a medical history of familial deep vein thrombosis, developed thrombosis of the inferior vena cava with extension to the suprahepatic veins and pulmonary embolism. No constitutional or acquired thrombophilia was diagnosed; search for JAK 2 mutation was negative...
May 2014: Journal des Maladies Vasculaires
https://www.readbyqxmd.com/read/24386029/thrombectomy-under-cardiopulmonary-bypass-for-inferior-vena-cava-thrombosis-induced-by-liver-injury
#9
Masaki Hamamoto, Taira Kobayashi, Hiroshi Kodama, Atsushi Nakamitsu, Masaru Sasaki, Yuta Kuroo
Inferior vena cava thrombosis (IVCT) caused by liver injury is a rare and challenging condition. A 32-year-old man sustained a severe liver injury in a traffic accident. Emergent thromboembolic procedure for the affected hepatic arteries was performed for hemostasis, resulting in hemodynamic stabilization of the patient. One month later, however, computed tomography (CT) showed liver congestion caused by IVCT from the suprahepatic IVC to the bilateral common iliac veins. As liver function deteriorated quickly despite heparin administration, surgical thrombectomy was performed under hypothermic circulatory arrest through sternotomy and laparotomy...
2013: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/23793200/beh%C3%A3-et-disease-in-association-with-budd-chiari-syndrome-and-multiple-thrombosis-case-report
#10
Maraya de Jesus Semblano Bittencourt, Carolina Moraes Dias, Thaiane Lima Lage, Renata Silva Barros, Otávio Augusto Gomes Paz, Waldonio de Brito Vieira
Behçet's disease is a chronic inflammatory disease of unknown aetiology, characterized by recurrent oral and genital aphthous ulcerations, uveitis, skin lesions and other multisystem affections associated with vasculitis. Different types of vessels, predominantly veins, can be affected in Behçet's disease. The frequency of vascular lesions in Behçet's disease, such as superficial and deep venous thromboses, arterial aneurysms and occlusions, ranges between 7-29%. Budd-Chiari syndrome is a rare and serious complication of Behçet's disease and implies thrombosis of the hepatic veins and/or the intrahepatic or suprahepatic inferior vena cava...
May 2013: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/23358016/expanding-the-envelope-the-posterior-rectus-sheath-liver-vascular-composite-allotransplant
#11
Justine C Lee, Oyedolamu K Olaitan, Reynold Lopez-Soler, John F Renz, J Michael Millis, Lawrence J Gottlieb
BACKGROUND: Primary abdominal wall reconstruction after liver transplantation presents a challenge in patients with size mismatch, multivisceral transplants, and prior recipient abdominal surgery. The authors report their experience with a novel technique for abdominal wall reconstruction with a new vascular composite allotransplant. METHODS: Five posterior rectus sheath-liver composite vascular allotransplants were procured by a multidisciplinary team and transplanted into four patients over the course of 2 years...
February 2013: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/22304010/surgical-management-of-wilms-tumor-with-intravascular-extension-a-single-institution-experience
#12
Diego Aspiazu, Israel Fernandez-Pineda, Rosa Cabello, Gema Ramirez, Antonio Alvarez-Madrid, Juan Carlos De Agustin
The purpose of this study was to retrospectively analyze the clinical presentation, treatment, and outcomes of children with Wilms tumor (WT) and intravascular extension who were treated at a single institution. A retrospective review was conducted of medical records of all children with Wilms tumor and intravascular extension treated at Virgen del Rocio Children's Hospital between 1992 and 2010. Seven patients (median age 3.4 years, range 2-8.1 years) were identified. At diagnosis, 6 of the 7 patients (85...
February 2012: Pediatric Hematology and Oncology
https://www.readbyqxmd.com/read/22169073/the-surgical-management-and-prognosis-of-renal-cell-cancer-with-ivc-tumor-thrombus-15-years-of-experience-using-a-multi-specialty-approach-at-a-single-uk-referral-center
#13
Ased S M Ali, Nikhil Vasdev, Selvaraj Shanmuganathan, Edgar Paez, John H Dark, Derek Manas, David J Thomas
OBJECTIVES: Surgical management of renal cell carcinoma (RCC) invading the inferior vena cava (IVC) remains a technical challenge. However, radical surgery is the only potentially curative treatment. We set out to review our experience of using a multi-specialty approach to these patients over the last 15 years. PATIENTS AND METHODS: Fifty patients with RCC and IVC invasion underwent surgery at our institution (mean age: 59 years). Tumor thrombus was infrahepatic/levels I and II: n = 24, intrahepatic/level III: N = 14, or suprahepatic/level IV: n = 12...
October 2013: Urologic Oncology
https://www.readbyqxmd.com/read/21917743/inferior-vena-cava-bypass-for-the-treatment-of-obliterative-hepatocavopathy-with-five-year-follow-up
#14
Javier E Anaya-Ayala, Brett A Johnson, Christopher J Smolock, Mark G Davies, Eric K Peden
Inferior vena cava (IVC) thrombosis at its hepatic portion (also known as obliterative hepatocavopathy [OH]), in the absence of systemic or local diseases such as vasculitis, coagulopathy, infection and malignancy, is a rare event. We report the case of a 25-year-old woman with progressive abdominal pain and leg edema after exercise. Imaging showed congestive liver and IVC occlusion at the intrahepatic portion. A liver biopsy demonstrated portal congestion without evidence of fibrosis; after unsuccessful percutaneous attempts for recanalization, consideration was given to liver transplantation with IVC reconstruction versus IVC bypass...
October 2011: Vascular
https://www.readbyqxmd.com/read/21839282/concurrent-inferior-vena-cava-and-hepatic-vein-stenoses-after-orthotopic-liver-transplantation-a-case-report
#15
C-Y Kim, D-S Kim, S H Um, B J Park, S B Cho, Y H Kim, S O Suh
Outflow obstruction or stenosis of a hepatic graft is a rare but serious complication after liver transplantation, with a reported incidence of 1% to 6%. It can cause signs of portal hypertension, renal dysfunction, or lower-extremity edema depending on the level of obstruction, which may lead to patient mortality. Most reported cases show a stenosis at either the inferior vena cava (IVC) or one of the hepatic veins. Herein we have reported our experience of concurrent suprahepatic IVC and hepatic vein stenoses after orthotopic liver transplantation with related imaging findings and a successful treatment outcome...
July 2011: Transplantation Proceedings
https://www.readbyqxmd.com/read/21688554/-pathogenesis-of-thrombotic-and-hemorrhagic-complications-in-myeloproliferative-and-myelodysplastic-syndromes
#16
Ana-Maria Vlădăreanu, Viola Popov, H Bumbea, Cristina Ciufu, Veronica Vasilache, Anca Petre, Minodora Onisâi
Chronic myeloproliferative disorders (CMD) and Myelodisplastic Syndromes (MDS) represents a group of clonal pluripotent stem-cell pathologies. During their natural history, the clinical picture reveals both thrombosis and hemorrhage. The thrombosis could affect the microvessels, and also the large vessels, including even less usual territories (suprahepatic veins, porta vein, pulmonary vein). There are many factors contributing to thrombosis in myeloproliferative chronic disorders--the associated comorbidities, the numeric alterations of blood elements and also the disorders of the platelet's function...
January 2011: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
https://www.readbyqxmd.com/read/21684598/right-heart-and-pulmonary-thromboembolism-from-extensive-splanchnic-vein-thrombosis-after-splenectomy-for-myeloproliferative-disease
#17
Anna Agnese Stanziola, Sergio Padula, Emanuela Carpentieri, Gaetano Rea, Mauro Maniscalco, Matteo Sofia
BACKGROUND: Splenectomy is a risk factor for both portal-vein and chronic thromboembolic pulmonary hypertension. The underlying mechanism is unclear, but may involve a hypercoagulable state. METHODS: We describe 1 patient with polycythemia vera who developed extensive portal thrombosis of the portal, suprahepatic, and inferior cava veins, leading to right heart thromboembolism, with a resultant pulmonary embolism subsequent to splenectomy despite heparin prophylaxis...
March 2012: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/21646835/right-atrial-myxoma-associated-with-portal-and-splenic-vein-thrombosis-in-a-patient-with-budd-chiari-syndrome
#18
Burak Onan, Zehra Bayramoğlu, Ismihan Selen Onan, Belhhan Akpınar
Budd-Chiari syndrome (BCS) is a rare disorder characterized by hepatic venous obstruction. A 41-year-old male patient presented with right upper quadrant pain, abdominal distension, and dyspnea. He had a history of BCS that was associated with polycythemia vera. Abdominal computed tomography showed hepatomegaly and a hypodense filling defect suggestive of thrombus formation in the hepatic, splenic, and portal veins, and suprahepatic part of the inferior vena cava. Transthoracic echocardiography performed to assess the extension of this pathological process and its relation with intracardiac structures showed a mass lesion in the right atrium, about 4 x 3 cm in diameter...
June 2011: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/21168717/surgical-complications-accompanying-liver-transplantation-in-estonia
#19
T Väli, A Tein, T Tikk, T Sillakivi
The purpose of this study was to evaluate surgical complications accompanying the introduction of orthotopic liver transplantation (OLT) in Estonia. Between 1999 and 2009, we performed the first 12 liver transplantations. Eight patients were males and four were females of age range 12 to 67 years. Their diagnoses were cholestatic disease (n = 5); tumor (n = 3); hepatitis C virus cirrhosis (n = 2); Budd-Chiari syndrome (n = 1); and cystic fibrosis (n = 1). Technical complications occurred in 7/12 patients. The early vascular complications in two patients were a suprahepatic vena cava lesion occurring at liver extraction, which resulted in uncontrolled suprahepatic bleeding after liver perfusion; the recipient died during transplantation...
December 2010: Transplantation Proceedings
https://www.readbyqxmd.com/read/20724064/liver-transplantation-techniques-for-the-surgical-management-of-renal-cell-carcinoma-with-tumor-thrombus-in-the-inferior-vena-cava-step-by-step-description
#20
Gaetano Ciancio, Javier Gonzalez, Samir P Shirodkar, Javier C Angulo, Mark S Soloway
BACKGROUND: Renal cell carcinoma (RCC) with tumor thrombus in the inferior vena cava (IVC) poses a challenge to the surgeon given the operative difficulty, potential for massive hemorrhage, and possibility of tumor thromboemboli. OBJECTIVE: To determine the applicability of a self-developed technique based on orthotopic liver transplantation procedures for safe resection of these tumors. DESIGN, SETTING, AND PARTICIPANTS: From August 1997 to February 2008, 68 consecutive patients underwent resection of RCC with suprahepatic and/or retrohepatic (level 3 and 4) tumor thrombus in a single referral institution...
March 2011: European Urology
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