title: Percutaneous recanalization of an occluded hepatic vein in a difficult subset of pediatric Budd-Chiari syndrome.
abstract: We present a 3-year-old child with Budd Chiari syndrome having idiopathic complete occlusion of all three major hepatic veins and small hepatic venules. Adequate antegrade flow in right hepatic vein was established by transfemoral balloon angioplasty followed by stenting of the same. Long term antiplatelet therapy was instituted. Medium term follow up reveals satisfactory antegrade flow and regression of symptoms. This strategy highlights an effective nonsurgical approach of restoring physiological pattern of hepatic sinusoidal blood flow in Budd Chiari syndrome.
authors.affiliation: Department of Pediatric Cardiology, Manipal Hospitals, 98 HAL Airport Road, Bangalore 560 017, India. drmaitricee@gmail.com
authors.forename: Maitri
authors.initials: M
authors.lastname: Chaudhuri
authors.forename: Mahimarangaiah
authors.initials: M
authors.lastname: Jayaranganath
authors.forename: Vidhyashankar Subash
authors.initials: VS
authors.lastname: Chandra
mesh_terms: D000800:Angioplasty, Balloon; D006502:Budd-Chiari Syndrome / Q000473:pathology / Q000628:therapy*; D002675:Child, Preschool; D005260:Female; D006503:Hepatic Veins / Q000473:pathology; D006801:Humans; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015607:Stents
chemical_list: D010975:Platelet Aggregation Inhibitors