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.
Cardiovasc Intervent Radiol. 2010 Jun;33(3):627-30. doi: 10.1007/s00270-009-9647-y. Epub 2009 Jul 16.
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.
我们报告了一例 9 岁男孩，因布加氏综合征导致门静脉高压和肝后下腔静脉血栓形成，通过将下腔静脉肝上段直接与门静脉连接行经颈静脉肝内门体分流术（TIPS）。3 个月后，停用抗凝剂导致 TIPS 血栓形成。在 TIPS 翻修时，发现 TIPS 和主门静脉血栓形成，以及脾静脉和肠系膜上静脉内有血栓。通过对支架远端严重狭窄进行溶栓和球囊血管成形术，成功进行了血管造影治疗。
