Nutcracker syndrome in a patient with a history of inferior vena cava ligation

2011 ◽  
Vol 39 (7) ◽  
pp. 418-421 ◽  
Author(s):  
Ahmet Peker ◽  
Aydın Yagmurlu ◽  
Mesiha Ekim ◽  
Haluk Gokcora ◽  
Suat Fitoz
MedPharmRes ◽  
2018 ◽  
Vol 2 (3) ◽  
pp. 22-26
Author(s):  
Uyen Vo ◽  
Duc Quach ◽  
Luan Dang ◽  
Thao Luu ◽  
Luan Nguyen

Budd–Chiari syndrome (BCS), a rare and life-threatening disorder due to hepatic venous outflow obstruction, is occasionally associated with hypoproteinemia. We herein report the first case of BCS with segmental obstruction of the intrahepatic portion of inferior vena cava (IVC) and hepatic veins (HVs) successfully treated by endovascular stenting in Vietnam. A 32-year-old female patient presented with a 2-month history of massive ascites and leg swelling. She refused history of oral contraceptives use. Hepatosplenomegaly without tenderness was noted. Laboratory data showed polycythemia, mild hypoalbuminemia and hypoproteinemia, slightly high total bilirubin and normal transaminase level. The serum ascites albumin gradient was 1.9 g/dL and ascitic protein level was 1.1 g/dL. The other data were normal. BCS was suspected because of the discrepancy between mild liver failure and massive ascites; and the presence of hepatosplenomegaly and polycythemia. On abdominal magnetic resonance imaging, the segmental obstruction of three HVs and IVC was 2-3 cm long without thrombus. Cavogram revealed the severe segmental stenosis of intrahepatic portion of IVC with no visualized HV and extensive collateral veins. A Protégé stent was deployed to IVC. Leg swelling and ascites were completely resolved within 3 days after stenting. During 1-year follow-up, edema was not recurred and repeated laboratory results were all normal.


2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Jeet J. Mehta ◽  
Benjamin DeMarco ◽  
John P. Vavalle ◽  
Khola S. Tahir ◽  
Joseph S. Rossi

A 73-year-old female presented with cardiogenic shock secondary to hemopericardium and cardiac tamponade. Imaging revealed two fractured legs of an inferior vena cava filter, with one leg within the anterior myocardium of the right ventricle and another penetrating the inferior septum through the middle cardiac vein. Hemopericardium and cardiac tamponade were treated with pericardiocentesis. A multidisciplinary meeting resulted in deferring further action against the embedded fractured legs of the filter with consideration of the patient’s age and comorbidities. This case report should alert clinicians to think about hemopericardium as a cause of cardiac tamponade and cardiogenic shock in a patient with a history of an inferior vena cava filter placement.


Vascular ◽  
2009 ◽  
Vol 17 (5) ◽  
pp. 284-289 ◽  
Author(s):  
Karen Woo ◽  
Patrick Cook ◽  
Mohsin Saeed ◽  
Ralph Dilley

Aneurysms of the inferior vena cava (IVC) are exceedingly rare; less than 50 cases have been reported in the world literature. Owing to the paucity of data regarding the natural history of IVC aneurysms, there is no consensus on their treatment. This case report describes the evaluation of an IVC aneurysm in a 56-year-old male, briefly discusses the embryologic development of the IVC, and revisits the question of whether surgical intervention is indicated in these patients.


2014 ◽  
Vol 60 (3) ◽  
pp. 784 ◽  
Author(s):  
N. Thao T. Nguyen ◽  
Neal R. Barshes ◽  
Carlos F. Bechara ◽  
George T. Pisimisis

2016 ◽  
Vol 4 (2) ◽  
pp. 231-235 ◽  
Author(s):  
Ricardo de Alvarenga Yoshida ◽  
Winston Bonetti Yoshida ◽  
Renato Fanchiotti Costa ◽  
Marcelo Souto Nacif ◽  
Marcone Lima Sobreira ◽  
...  

2021 ◽  
Vol 16 (4) ◽  
pp. 383-392
Author(s):  
Yajuan Zhang ◽  
Jun Yan ◽  
Qiang Wang ◽  
Shoujun Li ◽  
Jing Sun ◽  
...  

2020 ◽  
Vol 47 (2) ◽  
pp. 140-143
Author(s):  
Andrés Mesa ◽  
Eliana Milazzo ◽  
Oscar Rivera ◽  
Tabata Hernández ◽  
Gilberto Umanzor

Inferior vena cava (IVC) filter thrombosis can be fatal when it is not detected and treated. Its management can be challenging, because little evidence supports specific treatments. We present the case of a 72-year-old man with a history of deep vein thrombosis in whom IVC filter thrombosis developed 7 years after filter placement. Recanalization with oral anticoagulation had failed. Using intravascular ultrasonography, we performed pharmacomechanical thrombolysis, deploying 2 stents simultaneously through the IVC filter and then 2 more into the iliac veins, with excellent results. One year later, the patient's veins and IVC filter were patent, his symptoms were greatly improved, and only nonobstructive neointimal hyperplasia was seen. This case highlights the usefulness of balloon venoplasty and double-barrel stent placement in restoring blood flow through an occluded IVC, and the value of intravascular ultrasonography during and after such procedures.


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