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特发性膜性下腔静脉梗阻:表现为布加综合征的一种变异型

An Idiopathic Membranous IVC Obstruction: Presenting as a Variant of the BCS.

作者信息

Ganesh B Amirtha, Mathew Ravi Cherian, N Ananathakrishnan

机构信息

Associate Professor, Department of Cardiology, Mahatma Gandhi Medical College and Research Institute , Pillaiyarkuppam, Puducherry-607402, India .

出版信息

J Clin Diagn Res. 2013 Apr;7(4):723-5. doi: 10.7860/JCDR/2013/4407.2893. Epub 2013 Apr 1.

DOI:10.7860/JCDR/2013/4407.2893
PMID:23730658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3644456/
Abstract

An Inferior Venacaval (IVC) lumen obstruction, whether it is partial or complete, is not a common phenomenon and it may be caused by the thrombosis or compression which may result from neoplastic or non neoplastic masses. There are cases which are idiopathic and which are typically referred to as membranous obstructions of the IVC. Here, we are presenting a 40 years old male with multiple tortuous veins over the abdomen, with non healing ulcers in the leg for 12 years, without ascites, who underwent a successful percutaneous transluminal balloon dilatation of the IVC membrane which was located above the hepatic veins, which resulted in a successful palliation of his symptoms.

摘要

下腔静脉(IVC)管腔阻塞,无论是部分性还是完全性,都不是常见现象,可能由肿瘤性或非肿瘤性肿块导致的血栓形成或压迫引起。有些病例是特发性的,通常被称为下腔静脉膜性阻塞。在此,我们报告一名40岁男性,其腹部有多处迂曲静脉,腿部有12年不愈合的溃疡,无腹水,接受了经皮腔内球囊扩张位于肝静脉上方的下腔静脉膜,症状得到成功缓解。

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本文引用的文献

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Inferior vena cava obstruction: long-term results of endovascular management.下腔静脉阻塞:血管内治疗的长期结果
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Blocking of the hepatic vein outflow by neointima covering a wallstent across a membranous stenosis of the inferior vena cava.新内膜覆盖跨越下腔静脉膜性狭窄处的 Wallstent 支架导致肝静脉流出道阻塞。
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Successful treatment by percutaneous balloon angioplasty of Budd-Chiari syndrome caused by membranous obstruction of inferior vena cava: 8-year follow-up study.经皮球囊血管成形术治疗下腔静脉膜性梗阻所致布加综合征的疗效:8年随访研究
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Budd-Chiari syndrome following pregnancy. Report of 16 cases, with roentgenologic, hemodynamic and histologic studies of the hepatic outflow tract.妊娠后布加综合征。16例报告,附肝流出道的放射学、血液动力学及组织学研究
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