1. Solution to recurrent suprahepatic caval stenosis after liver transplantation: Cardiac surgery after repeated dilatations and stenting
- Author
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Michele La Torre, Renato Romagnoli, Ezio David, Paolo Strignano, Stefano Salizzoni, Roberta Suita, Pietro Rispoli, and Mauro Rinaldi
- Subjects
Transplantation ,medicine.medical_specialty ,Hepatology ,business.industry ,medicine.medical_treatment ,Diaphragmatic breathing ,Anastomosis ,Liver transplantation ,medicine.disease ,Balloon ,Surgery ,Cardiac surgery ,Stenosis ,Ascites ,cardiovascular system ,medicine ,Budd–Chiari syndrome ,cardiovascular diseases ,Radiology ,medicine.symptom ,business - Abstract
Received January 27, 2014; accepted February 8, 2014.TO THE EDITORS:We report the unique course of a 54-year-old femalepatient after liver transplantation (LT) for Budd-Chiarisyndrome in 1999. Because of hepatic artery throm-bosis, early re-LT was performed with the classic infe-rior vena cava (IVC) reconstruction technique(suprahepatic and infrahepatic anastomoses). Thepatient suffered from severe ascites within 3 monthsof the surgery, and cavography showed 80% suprahe-patic caval stenosis at the diaphragmatic level with apeak gradient of 17 mm Hg. She was treated with sev-eral balloon dilatations and then with caval stenting
- Published
- 2014
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