Martin L, Dondelinger R F, Trotteur G
Department of Medical Imaging, University Hospital Sart Tilman, Domaine Universitaire du Sart Tilman, Liège, Belgium.
Cardiovasc Intervent Radiol. 1995 May-Jun;18(3):196-9. doi: 10.1007/BF00204151.
A 49-year-old male with Budd-Chiari syndrome complicated by liver cirrhosis and intractable ascites is reported. The left hepatic vein was stenosed by a short subocclusive ostial web; the right and medial hepatic veins were thrombosed. A spontaneous intrahepatic portosystemic shunt had developed between the left portal and left hepatic veins. After ineffective balloon angioplasty, the left hepatic venous outflow was restored by placement of a 10-mm-diameter Wallstent across the web via a femoral approach. The hepatic venous pressure dropped from 29 to 12 mmHg. Rapid clinical improvement followed. The patient underwent liver transplantation 3 months later in stable condition.
报告了一名49岁患有布加综合征并伴有肝硬化和顽固性腹水的男性患者。左肝静脉被一个短的亚闭塞性开口处网状物狭窄；右肝静脉和中肝静脉血栓形成。在左门静脉和左肝静脉之间形成了自发性肝内门体分流。在球囊血管成形术无效后，通过股动脉途径在网状物处放置一个直径10毫米的Wallstent支架，恢复了左肝静脉流出道。肝静脉压力从29毫米汞柱降至12毫米汞柱。随后临床迅速改善。3个月后患者在病情稳定的情况下接受了肝移植。
