Hepatic veins and inferior vena cava thrombosis in a child treated by transjugular intrahepatic portosystemic shunt.
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.
Carnevale
Francisco Cesar
FC
Interventional Radiology Unit, Radiology Institute, Hospital das Clínicas, São Paulo University Medical School, Av Dr Enéas de Carvalho Aguiar, 255, São Paulo 05403-001, Brazil. fcarnevale@uol.com.br
Santos
Aline Cristine Barbosa
AC
Tannuri
Uenis
U
Cerri
Giovanni Guido
GG
D000792:Angiography; D000800:Angioplasty, Balloon; D000925:Anticoagulants / Q000008:administration & dosage; D006502:Budd-Chiari Syndrome / Q000601:surgery*; D002648:Child; D006503:Hepatic Veins; D006801:Humans; D008297:Male; D008642:Mesenteric Veins; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D012086:Reoperation; D013162:Splenic Vein; D015607:Stents; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery*; D014682:Vena Cava, Inferior
D000925:Anticoagulants