title: Advisability of surgical treatment for chronic membranous obstruction of the hepatic portion of the inferior vena cava.
abstract: Transatrial membranotomy was performed in a patient with membranous obstruction of the hepatic segment of the inferior vena cava, manifesting as longstanding varicosity and edema of the legs, chronic type of Budd-Chiari syndrome, liver cirrhosis and hypersplenism. The course in this patient and similar ones reported in the literature suggests a conservative approach.
mesh_terms: D000328:Adult; D001401:Azygos Vein / Q000000981:diagnostic imaging; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002445:Celiac Artery / Q000000981:diagnostic imaging; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D011859:Radiography; D013157:Splenic Artery / Q000000981:diagnostic imaging; D013163:Splenomegaly / Q000150:complications; D014648:Varicose Veins / Q000150:complications; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*; D014689:Venous Insufficiency / Q000150:complications