A caval homograft for Budd-Chiari syndrome due to inferior vena cava obstruction
Transjugular intrahepatic portosystemic shunt (TIPS) is the standard treatment of Budd-Chiari syndrome (BCS) non responsive to medical therapy. However, patients with inferior vena cava (IVC) obstruction proximal to the atrium do not benefit from TIPS and a surgical approach is mandatory. We report...
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| Veröffentlicht in: | World journal of hepatology 2013-05, Vol.5 (5), p.292-295 |
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| container_title | World journal of hepatology |
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| creator | Mancuso, Andrea Martinelli, Luigi De Carlis, Luciano Rampoldi, Antonio Gaetano Magenta, Giovanni Cannata, Aldo Belli, Luca Saverio |
| description | Transjugular intrahepatic portosystemic shunt (TIPS) is the standard treatment of Budd-Chiari syndrome (BCS) non responsive to medical therapy. However, patients with inferior vena cava (IVC) obstruction proximal to the atrium do not benefit from TIPS and a surgical approach is mandatory. We report the case of BCS due to intrapericardial IVC obstruction. We describe a novel surgical approach using a fresh caval homograft. An attempt to balloon dilatation of the IVC obstruction was complicated by right atrial disruption with tamponade and ventricular fibrillation. Lately, the patient successfully underwent a reconstruction of the cavo-atrial continuity by the interposition of a fresh caval homograft, a novel surgical approach never described before for BCS. Further follow-up revealed progressive reduction and resolution of ascites, and overall clinical improvement. IVC obstruction near to the atrium can be surgically approached with a new technique consisting in inferior vena cava resection and replacement with a caval homograft. |
| doi_str_mv | 10.4254/wjh.v5.i5.292 |
| format | Article |
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However, patients with inferior vena cava (IVC) obstruction proximal to the atrium do not benefit from TIPS and a surgical approach is mandatory. We report the case of BCS due to intrapericardial IVC obstruction. We describe a novel surgical approach using a fresh caval homograft. An attempt to balloon dilatation of the IVC obstruction was complicated by right atrial disruption with tamponade and ventricular fibrillation. Lately, the patient successfully underwent a reconstruction of the cavo-atrial continuity by the interposition of a fresh caval homograft, a novel surgical approach never described before for BCS. Further follow-up revealed progressive reduction and resolution of ascites, and overall clinical improvement. IVC obstruction near to the atrium can be surgically approached with a new technique consisting in inferior vena cava resection and replacement with a caval homograft.</description><identifier>ISSN: 1948-5182</identifier><identifier>EISSN: 1948-5182</identifier><identifier>DOI: 10.4254/wjh.v5.i5.292</identifier><identifier>PMID: 23717741</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Co., Limited</publisher><subject>Budd-Chiari ; Case Report ; cava ; Inferior ; Liver ; Occlusion ; Surgery ; syndrome ; transplantation ; vena</subject><ispartof>World journal of hepatology, 2013-05, Vol.5 (5), p.292-295</ispartof><rights>2013 Baishideng Publishing Group Co., Limited. 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However, patients with inferior vena cava (IVC) obstruction proximal to the atrium do not benefit from TIPS and a surgical approach is mandatory. We report the case of BCS due to intrapericardial IVC obstruction. We describe a novel surgical approach using a fresh caval homograft. An attempt to balloon dilatation of the IVC obstruction was complicated by right atrial disruption with tamponade and ventricular fibrillation. Lately, the patient successfully underwent a reconstruction of the cavo-atrial continuity by the interposition of a fresh caval homograft, a novel surgical approach never described before for BCS. Further follow-up revealed progressive reduction and resolution of ascites, and overall clinical improvement. IVC obstruction near to the atrium can be surgically approached with a new technique consisting in inferior vena cava resection and replacement with a caval homograft.</description><subject>Budd-Chiari</subject><subject>Case Report</subject><subject>cava</subject><subject>Inferior</subject><subject>Liver</subject><subject>Occlusion</subject><subject>Surgery</subject><subject>syndrome</subject><subject>transplantation</subject><subject>vena</subject><issn>1948-5182</issn><issn>1948-5182</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNpVkcFPHCEUh0lTU43usdeGpJdeZoWBNwOXJnbTqomJHvRMmBnYwcyAwsw0_vdFd2tWLg_Cx8fL-yH0lZI1L4Gf_33s1wusHaxLWX5CJ1RyUQAV5eeD_TFapfRI8uK8kkJ8Qcclq2ldc3qC7i5wqxc94D6MYRu1nbANEf-au67Y9E5Hh9OL72IYDe5mg6eAnbcmugwtxuu31zg0aYpzO7ngz9CR1UMyq309RQ9_ft9vroqb28vrzcVN0XIKU1GyioJsJKmbStdWiFJUFjpe5wpGSGOllvkoGmo7aOvG6pYIISQlBBgX7BT93Hmf5mY0XWv8FPWgnqIbdXxRQTv18ca7Xm3DolhV8VK8Cn7sBTE8zyZNanSpNcOgvQlzUpRBJaHmABktdmgbQ0rR2PdvKFGvQagchFpAOVA5iMx_O-ztnf4_9gx83wv74LfPzm8PjIQRRkEA-wcGTpDn</recordid><startdate>20130527</startdate><enddate>20130527</enddate><creator>Mancuso, Andrea</creator><creator>Martinelli, Luigi</creator><creator>De Carlis, Luciano</creator><creator>Rampoldi, Antonio Gaetano</creator><creator>Magenta, Giovanni</creator><creator>Cannata, Aldo</creator><creator>Belli, Luca Saverio</creator><general>Baishideng Publishing Group Co., Limited</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130527</creationdate><title>A caval homograft for Budd-Chiari syndrome due to inferior vena cava obstruction</title><author>Mancuso, Andrea ; Martinelli, Luigi ; De Carlis, Luciano ; Rampoldi, Antonio Gaetano ; Magenta, Giovanni ; Cannata, Aldo ; Belli, Luca Saverio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-236159b907b6a7f88286f5d472865e89ef9a9d478b1fd5c7bfac0888910053483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Budd-Chiari</topic><topic>Case Report</topic><topic>cava</topic><topic>Inferior</topic><topic>Liver</topic><topic>Occlusion</topic><topic>Surgery</topic><topic>syndrome</topic><topic>transplantation</topic><topic>vena</topic><toplevel>online_resources</toplevel><creatorcontrib>Mancuso, Andrea</creatorcontrib><creatorcontrib>Martinelli, Luigi</creatorcontrib><creatorcontrib>De Carlis, Luciano</creatorcontrib><creatorcontrib>Rampoldi, Antonio Gaetano</creatorcontrib><creatorcontrib>Magenta, Giovanni</creatorcontrib><creatorcontrib>Cannata, Aldo</creatorcontrib><creatorcontrib>Belli, Luca Saverio</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mancuso, Andrea</au><au>Martinelli, Luigi</au><au>De Carlis, Luciano</au><au>Rampoldi, Antonio Gaetano</au><au>Magenta, Giovanni</au><au>Cannata, Aldo</au><au>Belli, Luca Saverio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A caval homograft for Budd-Chiari syndrome due to inferior vena cava obstruction</atitle><jtitle>World journal of hepatology</jtitle><addtitle>World Journal of Hepatology</addtitle><date>2013-05-27</date><risdate>2013</risdate><volume>5</volume><issue>5</issue><spage>292</spage><epage>295</epage><pages>292-295</pages><issn>1948-5182</issn><eissn>1948-5182</eissn><abstract>Transjugular intrahepatic portosystemic shunt (TIPS) is the standard treatment of Budd-Chiari syndrome (BCS) non responsive to medical therapy. However, patients with inferior vena cava (IVC) obstruction proximal to the atrium do not benefit from TIPS and a surgical approach is mandatory. We report the case of BCS due to intrapericardial IVC obstruction. We describe a novel surgical approach using a fresh caval homograft. An attempt to balloon dilatation of the IVC obstruction was complicated by right atrial disruption with tamponade and ventricular fibrillation. Lately, the patient successfully underwent a reconstruction of the cavo-atrial continuity by the interposition of a fresh caval homograft, a novel surgical approach never described before for BCS. Further follow-up revealed progressive reduction and resolution of ascites, and overall clinical improvement. 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| source | Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Budd-Chiari Case Report cava Inferior Liver Occlusion Surgery syndrome transplantation vena |
| title | A caval homograft for Budd-Chiari syndrome due to inferior vena cava obstruction |
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