Hybrid treatment of inferior vena cava obstruction after orthotopic heart transplantation.
Caval stenosis with subsequent thrombosis may occur after orthotopic heart transplantation (HT). Management of this complication may include a percutaneous approach or an open surgical one. Here, we report the case of an obstruction and severe thrombosis of the inferior vena cava, following orthotopic HT, that was managed in a hybrid fashion with surgical venous thrombectomy, inferior vena cava stenting, and atrio-caval patch-plasty.
Santise
Gianluca
G
Department of Cardiothoracic Surgery, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT), University of Pittsburgh Medical Center, Via Tricomi 1, 90127 Palermo, Italy. gianlucasantise@yahoo.it
D'Ancona
Giuseppe
G
Baglini
Roberto
R
Pilato
Michele
M
D000818:Animals; D002404:Catheterization; D002417:Cattle; D003131:Combined Modality Therapy; D003251:Constriction, Pathologic; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D010690:Phlebography; D015607:Stents; D017131:Thrombectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery / Q000628:therapy*