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Stent angioplasty of narrowed portocaval shunt in Budd Chiari syndrome: a case report

机译:Budd Chiari综合征狭窄门腔分流术的支架血管成形术:病例报告

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Background Hepatic vein thrombosis (Budd-Chiari Syndrome) is a rare disorder resulting from an obstruction to the outflow of blood from the liver. Early decompression is needed to prevent liver dysfunction and death. Radiological intervention includes angioplasty of stenosis and webs and the placement of transjugular intrahepatic portosystemic shunts (TIPPS). Side-to-side portacaval shunt (SSPCS) remains the gold standard for achieving good long-term results. Case presentation A 37-year old lady underwent side-to-side portacaval shunt for Budd Chiari syndrome. She had early shunt blockage and this was successfully treated with the placement of a metallic stent across the shunt. Conclusion At five years, she remains asymptomatic, with normal liver functions, no ascites, and normal flow through the stent on Colour Doppler examination.
机译:背景技术肝静脉血栓形成(Budd-Chiari综合征)是一种罕见的疾病,其原因是阻塞了血液从肝脏流出。需要尽早减压以防止肝功能障碍和死亡。放射学干预包括狭窄和腹膜的血管成形术以及经颈静脉肝内门体分流术(TIPPS)的放置。并排门腔分流器(SSPCS)仍然是实现良好长期效果的金标准。病例介绍一名37岁的女士因Budd Chiari综合征接受了左右门腔分流术。她有早期的分流器阻塞,并且通过在分流器上放置金属支架成功地解决了这一问题。结论彩色多普勒检查显示,她在五年后仍无症状,肝功能正常,无腹水,并且通过支架的血流量正常。

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