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Hepatic Veins and Inferior Vena Cava Thrombosis in a Child Treated by Transjugular Intrahepatic Portosystemic Shunt

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Abstract

We report the case of a 9-year-old boy with portal hypertension, due to Budd-Chiari syndrome, and retrohepatic inferior vena cava thrombosis, submitted to a transjugular intrahepatic portosystemic shunt (TIPS) by connecting the suprahepatic segment of the inferior vena cava directly to the portal vein. After 3 months, the withdrawal of anticoagulants promoted the thrombosis of the TIPS. At TIPS revision, thrombosis of the TIPS and the main portal vein and clots at the splenic and the superior mesenteric veins were found. Successful angiography treatment was performed by thrombolysis and balloon angioplasty of a severe stenosis at the distal edge of the stent.

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Authors and Affiliations

  1. Interventional Radiology Unit, Radiology Institute, Hospital das Clínicas, São Paulo University Medical School, Av. Dr. Enéas de Carvalho Aguiar, 255, São Paulo, SP, 05403-001, Brazil

    Francisco Cesar Carnevale, Aline Cristine Barbosa Santos & Giovanni Guido Cerri

  2. Liver Transplantation Unit, Children’s Institute, Hospital das Clínicas, São Paulo University Medical School, Av. Dr. Enéas Carvalho de Aguiar, 647, São Paulo, SP, 05403-000, Brazil

    Uenis Tannuri

  3. Rua Teodoro Sampaio 352/17, Sao Paulo, SP, 05406-000, Brazil

    Francisco Cesar Carnevale

Authors
  1. Francisco Cesar Carnevale
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  2. Aline Cristine Barbosa Santos
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  3. Uenis Tannuri
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  4. Giovanni Guido Cerri
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Correspondence to Francisco Cesar Carnevale.

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Carnevale, F.C., Santos, A.C.B., Tannuri, U. et al. Hepatic Veins and Inferior Vena Cava Thrombosis in a Child Treated by Transjugular Intrahepatic Portosystemic Shunt. Cardiovasc Intervent Radiol 33, 627–630 (2010). https://doi.org/10.1007/s00270-009-9647-y

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  • DOI: https://doi.org/10.1007/s00270-009-9647-y

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