Endovascular Treatment of an Unusual Membranous Obstruction of the Inferior Vena Cava in Budd-Chiari Syndrome Complicated by Mural Portal Vein Thrombosis

Ann Vasc Surg. 2017 Oct:44:419.e13-419.e17. doi: 10.1016/j.avsg.2017.04.026. Epub 2017 May 5.

Abstract

We describe the case of a patient with Budd-Chiari syndrome who presented with an unusual membranous obstruction of the inferior vena cava complicated by massive portal vein thrombosis (PVT). The patient underwent percutaneous transluminal balloon angioplasty through the right groin and was prescribed oral warfarin for 6 months. Treatment resulted in the complete disappearance of the PVT. This therapeutic strategy should be considered in the management of other cases of this rare, complex disease.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Angioplasty, Balloon*
  • Anticoagulants / administration & dosage
  • Budd-Chiari Syndrome / complications
  • Budd-Chiari Syndrome / diagnostic imaging
  • Budd-Chiari Syndrome / therapy*
  • Computed Tomography Angiography
  • Humans
  • Male
  • Middle Aged
  • Multidetector Computed Tomography
  • Phlebography / methods
  • Portal Vein* / diagnostic imaging
  • Treatment Outcome
  • Vena Cava, Inferior* / diagnostic imaging
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / etiology
  • Venous Thrombosis / therapy*
  • Warfarin / administration & dosage

Substances

  • Anticoagulants
  • Warfarin