Abstract
Two cases of membranous obstruction of the IVC at hepatic portion associated with intrahepatic portosystemic shunts, which presumably represent the persistent vitelline sinusoids, are presented. The association of these two conditions has not been previously reported and may support the congenital etiology of the membranous obstruction of the IVC. The caval membrane was successfully dilated percutaneously with a balloon catheter in each case.
Similar content being viewed by others
References
Yamamoto S, Yokoyama Y, Takeshige K, Iwasaki S (1968) Budd-Chiari syndrome with obstruction of the inferior vena cava. Gastroenterology 54:1070–1084
Nakamura T, Nakamura S, Aikawa T, Suzuki, O, Onodere A, Karoji N (1968) Obstruction of the inferior vena cava in the hepatic portion and the hepatic veins. Angiology 19:478–498.
Hirooka M (1969) Membranous obstruction of the inferior vena cava at the hepatic portion. Hypothetical etiology based on developmental abnormality. Acta Hepatol Jpn 10:566–577
Datta DV, Vashishta S, Samanta AK, Chhuttani PN (1978) Diagnostic value of combined transhepatic venography and inferior vena cavography in chronic Budd-Chiari syndrome. Digest Dis 23:1031–1041
Simson IW (1982) Membranous obstruction of the inferior vena cava and hepatocellular carcinoma in South Africa. Gastroenterology 82:171–178
Rossi P, Sposito M, Simonetti G, Sposato S, Cusumano G (1981) CT diagnosis of Budd-Chiari syndrome. J. Comput Assist Tomogr 5:366–369
Harter LP, Grass BH, Hilarie JS, Filly RA, Goldberg HI (1982) CT and sonographic appearance of hepatic vein obstruction. AJR 139:176–178
Makuuchi M, Hasegawa H, Yamazaki S, Moriyama N, Takayasu K, Okazaki M (1984) Primary Budd-Chiari syndrome: Ultrasonic demonstration. Radiology 152:775–779
Gerlock AJ, Giyanani VL, Venable DD, Mirfakhraee M (1984) Membraneous obstruction of the inferior vena cava: An ultrasound, computed tomography, and inferior vena cavogram image correlation. J Comput Assist Tomogr 8:567–569
Kimura C, Shirotani H, Hirooka M, Terada M, Ishikawa K, Maetani S (1963) Membranous obliteration of the inferior vena cava in the hepatic portion. J Cardiovasc Surg 4:87–98
Espana P, Figuera D, DeMiguel JMF, Anaya A, Menendez J (1980) Membranous obstruction of the inferior vena cava and hepatic ceins. Budd-Chiari syndrome? A treatable disease. Am J Gastroenterol 73:28–32
Kreel L, Freston JW, Clain D (1967) Vascular radiology in the Budd-Chiari syndrome. Br J Radiol 40:755–759
Kerlan RK Jr Sollenberger RD, Palubinskas AJ, Raskin NH, Callen PW, Ehrenfield WK (1982) Portal-systemic encephalopathy due to a congenital portocaval shunt. AJR 139:1013–1015
Raskin NH, Price JB, Fishman RA (1964) Portal-systemic encephalopathy due to congenital intrahepatic shunts. N Engl J Med 270:384–412
Okuda K (1982) Membranous obstruction of the inferior vena cava: Etiology and relation to hepatocellular carcinoma. Gastroenterology 82:376–379
Patten BM (1953) Development of the circulatory system. In: Human embryology. 2nd ed. McGraw-Hill, New York pp 637–649
Hamilton WJ, Mossman HW (1972) Cardio-vascular system. In: Human embryology, 4th ed. Williams and Wilkins Baltimore, pp 272–282.
Kimura C, Matsuda S, Ioie H, Hirooka M (1972) Membranous obstruction of the hepatic portion of the inferior vena cava: Clinical study of nine cases. Surgery 72:551–559
Eguchi S, Tekeuchi Y, Asano K (1974) Successful balloon membranotomy for obstruction of the hepatic portion of the inferior vena cava. Surgery 76:837–840
Meier WL III, Waller RM III, Sones PJ Jr (1981) Budd-Chiari web treated by percutanous transluminal angioplasty. AJR 137:1257–1258
Scully RE, Marks EJ, McNeely BU (1982) Case records of the massachusetts General Hospital. Case 29-1982. N Engl J Med 307:236–242
Yamada R, Sato M, Kawabata M, Nakatsuka H, Nakamura K, Kobayashi N (1983) Segmental obstruction of the hepatic inferior vena cava treated by transluminal angioplasty. Radiology 149:91–96
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Mori, H., Hayashi, K. & Amamoto, Y. Membranous obstruction of the inferior vena cava associated with intrahepatic portosystemic shunt. Cardiovasc Intervent Radiol 9, 209–213 (1986). https://doi.org/10.1007/BF02577944
Issue Date:
DOI: https://doi.org/10.1007/BF02577944