Zajko A B, Claus D, Clapuyt P, Esquivel C O, Moulin D, Starzl T E, de Ville de Goyet J, Otte J B
Department of Radiology, University of Pittsburgh School of Medicine, PA.
Radiology. 1989 Mar;170(3 Pt 1):763-5. doi: 10.1148/radiology.170.3.2521735.
Stenosis of the suprahepatic inferior vena caval anastomosis is a rare but serious vascular complication after liver transplantation. It may cause significant obstruction to venous drainage from the allograft liver and result in the Budd-Chiari syndrome with massive ascites and pleural effusion causing respiratory compromise. The authors report two such cases in which percutaneous transluminal angioplasty (PTA) of the stenotic anastomosis was performed. This nonsurgical approach resulted in resolution of ascites, pleural effusion, and respiratory distress in both patients. They conclude that PTA is a therapeutic alternative with minimal risk compared with surgical repair or retransplantation and should be considered the initial treatment of choice in selected patients.
肝上下腔静脉吻合口狭窄是肝移植术后一种罕见但严重的血管并发症。它可能会对移植肝的静脉引流造成严重梗阻，并导致布加综合征，出现大量腹水和胸腔积液，进而引起呼吸功能障碍。作者报告了两例这样的病例，对狭窄的吻合口进行了经皮腔内血管成形术（PTA）。这种非手术方法使两名患者的腹水、胸腔积液和呼吸窘迫症状均得到缓解。他们得出结论，与手术修复或再次移植相比，PTA是一种风险极小的治疗选择，在选定的患者中应被视为首选的初始治疗方法。
