Approach to the spectrum of Budd-Chiari syndrome: Which patients require portal decompression?

1985 ◽  
Vol 149 (1) ◽  
pp. 167-176 ◽  
Author(s):  
William J. Millikan ◽  
J. Michael Henderson ◽  
Charles W. Sewell ◽  
Robert A. Guyton ◽  
John R. Potts ◽  
...  
2018 ◽  
Vol 29 (6) ◽  
pp. 3273-3280
Author(s):  
Jiaywei Tsauo ◽  
He Zhao ◽  
Xiaowu Zhang ◽  
Huaiyuan Ma ◽  
Mingshan Jiang ◽  
...  

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S439-S440
Author(s):  
V. Gunasekaran ◽  
T.S. Chandrasekar ◽  
T.-M. Ahmed Shaikh ◽  
R. Rajalingam ◽  
G. Narasimhan ◽  
...  

2011 ◽  
Vol 16 (2) ◽  
pp. 286-300 ◽  
Author(s):  
Marshall J. Orloff ◽  
Jon I. Isenberg ◽  
Henry O. Wheeler ◽  
Pat O. Daily ◽  
Barbara Girard

2011 ◽  
Vol 140 (5) ◽  
pp. S-995
Author(s):  
Marshall J. Orloff ◽  
Jon I. Isenberg ◽  
Henry O. Wheeler ◽  
Pat O. Daily ◽  
Barbara Girard

Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 141-144
Author(s):  
Gygax ◽  
Berdat ◽  
Carrel

Wir berichten über einen Patienten mit Budd-Chiari Syndrom welcher unter intravenöser Antikoagulation eine Heparin induzierte Thrombozytopenie entwickelte. Die chirurgische Behandlung bestand aus einer dorsocranialen Leberresektion mit anschliessender hepato-atrialer Anastomose unter Verwendung der extrakorporellen Zirkulation. Die perioperative Antikoagulation wurde mittels Hirudin durchgeführt. Erstaunlicherweise wurde während der Operation eine Thrombusbildung im Kardiotomie-Reservoir der Herz-Lungenmaschine beobachtet, obwohl die intraoperativ gemessene Antikoagulationsparameter (ACT und aPTT) im therapeutischen Bereich waren. Mit einem zusätzlichen Bolus Hirudin in das extrakorporelles Circuit und dank Spülung des Reservoirs konnte die Operation ohne weitere thrombotische Ereignisse zu Ende geführt werden.


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.


1985 ◽  
Vol 21 (3) ◽  
pp. 473
Author(s):  
J H Lee ◽  
E K Kim ◽  
Y T Ko ◽  
Y Yoon ◽  
S W Lee ◽  
...  

1995 ◽  
Vol 32 (5) ◽  
pp. 763
Author(s):  
Moon Gyu Lee ◽  
Yong Ho Auh ◽  
Cheol Min Park ◽  
Gi Young Ko ◽  
Sang Hee Choi

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