布加综合征血管内治疗期间经侧支静脉穿孔路径导致的下腔静脉破裂：病例报告
Inferior Vena Cava Rupture Caused by Perforation Route through a Collateral Vein during Endovascular Treatment of Budd-Chiari Syndrome: Case Report.
作者信息
Ding Peng-Xu, Zhou Tao, Han Xin-Wei, Ma Hai-Tao, Liu Chao, Ding Jia-Yin, Lee Edward Wolfgang
机构信息
Department of Intervention, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People's Republic of China.
Department of Peripheral Vascular Surgery, The First Affiliated Hospital of Henan University of TCM, Zhengzhou, Henan, People's Republic of China.
出版信息
Ann Vasc Surg. 2020 Aug;67:564.e5-564.e8. doi: 10.1016/j.avsg.2020.02.030. Epub 2020 Mar 20.
Budd-Chiari syndrome (BCS) is an uncommon disorder defined as an obstruction of the hepatic venous outflow. Percutaneous transluminal balloon angioplasty is a less invasive treatment option for BCS patients. However, there are no reports regarding inferior vena cava (IVC) rupture caused by perforation route through a collateral vein during treatment of BCS. Here, we report a male patient with BCS who had a long segmental obstruction of the IVC and its collateral vessels. Here, IVC rupture occurred at the distal end of the obstructed IVC during a percutaneous angioplasty; the rupture was repaired successfully with an endovascular stent graft.
布加综合征（BCS）是一种罕见的疾病，定义为肝静脉流出道梗阻。经皮腔内球囊血管成形术是布加综合征患者一种侵入性较小的治疗选择。然而，尚无关于布加综合征治疗期间经侧支静脉穿孔途径导致下腔静脉（IVC）破裂的报道。在此，我们报告一名患有布加综合征的男性患者，其下腔静脉及其侧支血管存在长节段梗阻。在此病例中，经皮血管成形术期间下腔静脉在梗阻的下腔静脉远端发生破裂；通过血管内支架移植物成功修复了破裂。
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