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

Journal Article · Tue Jun 15 00:00:00 EDT 2010 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-009-9647-Y· OSTI ID:21429004

Santos, Aline Cristine Barbosa ^[1]; Tannuri, Uenis ^[2]; Cerri, Giovanni Guido ^[1]

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1. Sao Paulo University Medical School, Interventional Radiology Unit, Radiology Institute, Hospital das Clinicas (Brazil)
2. Sao Paulo University Medical School, Liver Transplantation Unit, Children's Institute, Hospital das Clinicas (Brazil)

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.

• OSTI ID: 21429004
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 33, Issue 3; Other Information: DOI: 10.1007/s00270-009-9647-y; Copyright (c) 2010 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); ISSN 0174-1551
• Country of Publication: United States
• Language: English

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