Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 3/2010

01-06-2010 | Case Report

Hepatic Veins and Inferior Vena Cava Thrombosis in a Child Treated by Transjugular Intrahepatic Portosystemic Shunt

Authors: Francisco Cesar Carnevale, Aline Cristine Barbosa Santos, Uenis Tannuri, Giovanni Guido Cerri

Published in: CardioVascular and Interventional Radiology | Issue 3/2010

Login to get access

Abstract

We report the case of a 9-year-old boy with portal hypertension, due to Budd-Chiari syndrome, and retrohepatic inferior vena cava thrombosis, submitted to a transjugular intrahepatic portosystemic shunt (TIPS) by connecting the suprahepatic segment of the inferior vena cava directly to the portal vein. After 3 months, the withdrawal of anticoagulants promoted the thrombosis of the TIPS. At TIPS revision, thrombosis of the TIPS and the main portal vein and clots at the splenic and the superior mesenteric veins were found. Successful angiography treatment was performed by thrombolysis and balloon angioplasty of a severe stenosis at the distal edge of the stent.
Literature
1.
go back to reference Haskal ZJ, Rees CR, Ring EJ et al (2003) Society of Interventional Radiology Technology Assessment Committee. J Vasc Interv Radiol 14:419–426 Haskal ZJ, Rees CR, Ring EJ et al (2003) Society of Interventional Radiology Technology Assessment Committee. J Vasc Interv Radiol 14:419–426
2.
go back to reference Carnevale FC, Caldas JGMP, Maksoud JG (2002) Transjugular intrahepatic portosystemic shunt in a child with Budd-Chiari syndrome: technical modification and extended follow-up. Cardiovasc Interv Radiol 25:224–226CrossRef Carnevale FC, Caldas JGMP, Maksoud JG (2002) Transjugular intrahepatic portosystemic shunt in a child with Budd-Chiari syndrome: technical modification and extended follow-up. Cardiovasc Interv Radiol 25:224–226CrossRef
3.
go back to reference Carnevale FC, Szejnfeld D, Moreira AM et al (2008) Long-term follow-up after successful transjugular intrahepatic portosystemic shunt placement in a pediatric patient with Budd-Chiari syndrome. Cardiovasc Interv Radiol 31(6):1244–1248CrossRef Carnevale FC, Szejnfeld D, Moreira AM et al (2008) Long-term follow-up after successful transjugular intrahepatic portosystemic shunt placement in a pediatric patient with Budd-Chiari syndrome. Cardiovasc Interv Radiol 31(6):1244–1248CrossRef
4.
go back to reference Hermeziu B, Franchi-Abella S, Plessier A et al (2008) Budd-Chiari syndrome and essential thrombocythemia in a chid: favorable outcome after transjugular intrahepatic portosystemic shunt. J Pediatr Gastroenterol Nutr 46(3):334–337CrossRefPubMed Hermeziu B, Franchi-Abella S, Plessier A et al (2008) Budd-Chiari syndrome and essential thrombocythemia in a chid: favorable outcome after transjugular intrahepatic portosystemic shunt. J Pediatr Gastroenterol Nutr 46(3):334–337CrossRefPubMed
6.
go back to reference Johnson SP, Leyendecker JR, Joseph FB (1996) Transjugular portosystemic shunts in pediatric patients awaiting liver transplantation. Transplantation 62:1178–1181CrossRefPubMed Johnson SP, Leyendecker JR, Joseph FB (1996) Transjugular portosystemic shunts in pediatric patients awaiting liver transplantation. Transplantation 62:1178–1181CrossRefPubMed
7.
go back to reference Pozler O, Krajina A, Vanicek H et al (2003) Transjugular intrahepatic portosystemic shunt in five children with cystic fibrosis: long-term results. Hepatogastroenterology 50:1111–1114PubMed Pozler O, Krajina A, Vanicek H et al (2003) Transjugular intrahepatic portosystemic shunt in five children with cystic fibrosis: long-term results. Hepatogastroenterology 50:1111–1114PubMed
8.
go back to reference Plessier A, Valla DC (2008) Budd-Chiari syndrome. Semin Liver Dis 8(3):259–269CrossRef Plessier A, Valla DC (2008) Budd-Chiari syndrome. Semin Liver Dis 8(3):259–269CrossRef
9.
10.
go back to reference Cauchi JA, Ollif S, Baumann U et al (2006) The Budd-Chiari syndrome in children: the spectrum of management. J Pediatr Surg 41:1919–1923CrossRefPubMed Cauchi JA, Ollif S, Baumann U et al (2006) The Budd-Chiari syndrome in children: the spectrum of management. J Pediatr Surg 41:1919–1923CrossRefPubMed
11.
go back to reference Rossle M, Olschewski M, Siegerstetter V et al (2004) The Budd-Chiari syndrome: outcome after treatment with the transjugular intrahepatic portosystemic shunt. Surgery 135:394–403CrossRefPubMed Rossle M, Olschewski M, Siegerstetter V et al (2004) The Budd-Chiari syndrome: outcome after treatment with the transjugular intrahepatic portosystemic shunt. Surgery 135:394–403CrossRefPubMed
12.
go back to reference Wilson MW, Gordon RL, La Berge JM et al (1995) Liver transplantation complicated by malpositioned transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol 6:695–699CrossRefPubMed Wilson MW, Gordon RL, La Berge JM et al (1995) Liver transplantation complicated by malpositioned transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol 6:695–699CrossRefPubMed
13.
go back to reference Cejna M, Peck-Radosavljevic M, Schoder M et al (2002) Repeat intervention for maintenance of tranjugular intrahepatic portosysemic shunt function in patients with Budd-Chiari syndrome. J Vasc Interv Radiol 13:193–199CrossRefPubMed Cejna M, Peck-Radosavljevic M, Schoder M et al (2002) Repeat intervention for maintenance of tranjugular intrahepatic portosysemic shunt function in patients with Budd-Chiari syndrome. J Vasc Interv Radiol 13:193–199CrossRefPubMed
14.
go back to reference Molmenti EP, Segev DL, Arepally A et al (2005) The utility of TIPS in the management of Budd-Chiari syndrome. Ann Surg 241:978–983CrossRefPubMed Molmenti EP, Segev DL, Arepally A et al (2005) The utility of TIPS in the management of Budd-Chiari syndrome. Ann Surg 241:978–983CrossRefPubMed
Metadata
Title
Hepatic Veins and Inferior Vena Cava Thrombosis in a Child Treated by Transjugular Intrahepatic Portosystemic Shunt
Authors
Francisco Cesar Carnevale
Aline Cristine Barbosa Santos
Uenis Tannuri
Giovanni Guido Cerri
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-009-9647-y

Other articles of this Issue 3/2010

CardioVascular and Interventional Radiology 3/2010 Go to the issue