CardioVascular and Interventional Radiology

, Volume 33, Issue 1, pp 205–208

Posttransplant Complex Inferior Venacava Balloon Dilatation After Hepatic Vein Stenting

Authors

    • Pediatric Cardiology and Congenital Cardiac Surgery UnitIndraprastha Apollo Hospital
  • Manav Wadhawan
    • Department of Gastroenterology and HepatologyIndraprastha Apollo Hospital
  • Subhash Gupta
    • Department of Liver TransplantIndraprastha Apollo Hospital
  • Vipul Roy
    • Department of CardiologyIndraprastha Apollo Hospital
Case Report

DOI: 10.1007/s00270-009-9633-4

Cite this article as:
Kohli, V., Wadhawan, M., Gupta, S. et al. Cardiovasc Intervent Radiol (2010) 33: 205. doi:10.1007/s00270-009-9633-4

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 transplantHepatic vein stenosisInferior vena cava stenosisPoststentRestent

Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2009