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Symptomatic hepatic vein stenosis

Publication at First Faculty of Medicine, Faculty of Medicine in Hradec Králové |
2015

Abstract

Budd-Chiari syndrome is a group of rare disorders with heterogenous spectrum of causes based on liver outflow blocation. There is a case report of a 32 year old female patient with symptomatic hepatic vein stenosis of idiopathic origin.

She was treated in our department in 2014 and 2015. She suffered from refraktory hydrothorax and after diuretic therapy was sent to angiointerventional unit of our hospital.

The left and middle hepatic veins were hypoplastic. The stenotic right hepatic vein was treated with implantation of balloon expandable stent.

After 6 months without symptoms she suffered from shortness of breath with hydrothorax, on angiography in-stent restenosis was found and balloon dilatation was performed. To maintain regression of symptoms there was no need to perform transjugular portosystemic shunt, placement of balloonexpandable stento was sufficient and it seems to be good solution for this rate type of Budd-Chiari syndrome.