Rivers-Bowerman Michael D, Lightfoot Christopher B, Meagher Ruairi P, Carter Michael D, Berry Robert F
Division of Vascular and Interventional Radiology, Department of Medical Imaging, Toronto General Hospital, University Health Network/University of Toronto, 585 University Avenue, Toronto, Ontario M5G 2N2, Canada.
Division of Interventional Radiology, Department of Diagnostic Radiology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Victoria General Hospital, Halifax, NS B3H 2Y9, Canada.
Radiol Case Rep. 2017 Jun 7;12(3):537-541. doi: 10.1016/j.radcr.2017.04.021. eCollection 2017 Sep.
A 50-year-old male with right upper quadrant symptoms and hepatic dysfunction was found to have multiple dilated hepatic veins (HVs) with intrahepatic collateralization and membranous occlusion of the intrahepatic inferior vena cava (IVC) consistent with primary Budd-Chiari syndrome. Venacavograms depicted drainage of the intrahepatic collaterals through a left-sided HV entering the IVC above the level of the occlusion. Sharp recanalization of the membranous IVC occlusion was performed with an occlusion balloon as a needle target under echocardiographic monitoring followed by balloon angioplasty with restoration of IVC patency. Clinical, laboratory, and venographic procedural success has been demonstrated to 9 months with minimal residual stenosis.
一名有右上腹症状和肝功能障碍的50岁男性被发现有多发扩张的肝静脉（HV），伴有肝内侧支循环形成以及肝内下腔静脉（IVC）膜性闭塞，符合原发性布加综合征。腔静脉造影显示肝内侧支循环通过一条左侧肝静脉引流至闭塞平面上方的下腔静脉。在超声心动图监测下，以闭塞球囊为针靶对膜性下腔静脉闭塞进行锐性再通，随后行球囊血管成形术恢复下腔静脉通畅。临床、实验室及静脉造影显示手术成功，至9个月时残余狭窄最小。
