Focal elastic obstruction of the inferior vena cava.
Obstruction of the supra-hepatic inferior vena cava (IVC) is a common cause of hepatic venous hypertension and the most common cause of Budd-Chiari Syndrome. Because most cases of IVC obstruction go undiagnosed until Budd-Chiari Syndrome develops, the natural history of IVC obstruction is not well defined. We report a case of a focal, elastic, non-membranous obstruction of the IVC causing hepatic venous hypertension and elevated serum transaminases in a 36-year-old man. The obstruction was successfully treated with placement of a self-expanding metallic stent with normalization of hepatic transaminases.
Helmy
T
T
Division of Cardiology, University of Texas Medical Branch, Galveston, Texas 77555-1064, USA.
Ware
D L
DL
Patterson
C
C
Stouffer
G A
GA
D000328:Adult; D000800:Angioplasty, Balloon; D001794:Blood Pressure; D003251:Constriction, Pathologic; D004548:Elasticity; D005268:Femoral Vein / Q000503:physiopathology; D006325:Heart Atria / Q000503:physiopathology; D006504:Hepatic Veno-Occlusive Disease / Q000209:etiology*; D006801:Humans; D008297:Male; D015607:Stents; D018084:Ultrasonography, Interventional; D014682:Vena Cava, Inferior / Q000473:pathology*