Case Report

CardioVascular and Interventional Radiology

, Volume 33, Issue 1, pp 205-208

First online:

Posttransplant Complex Inferior Venacava Balloon Dilatation After Hepatic Vein Stenting

  • Vikas KohliAffiliated withPediatric Cardiology and Congenital Cardiac Surgery Unit, Indraprastha Apollo Hospital Email author 
  • , Manav WadhawanAffiliated withDepartment of Gastroenterology and Hepatology, Indraprastha Apollo Hospital
  • , Subhash GuptaAffiliated withDepartment of Liver Transplant, Indraprastha Apollo Hospital
  • , Vipul RoyAffiliated withDepartment of Cardiology, Indraprastha Apollo Hospital

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Abstract

Orthotopic and living related liver transplantation is an established mode of treatment of end-stage liver disease. One of the major causes of postoperative complications is vascular anastomotic stenosis. One such set of such complications relates to hepatic vein, inferior vena cava (IVC), or portal vein stenosis, with a reported incidence of 1–3%. The incidence of vascular complications is reported to be higher in living donor versus cadaveric liver transplants. We encountered a patient with hepatic venous outflow tract obstruction, where the hepatic vein had been previously stented, but the patient continued to have symptoms due to additional IVC obstruction. The patient required double-balloon dilatation of the IVC simultaneously from the internal jugular vein and IVC.

Keywords

Liver transplant Hepatic vein stenosis Inferior vena cava stenosis Poststent Restent