Recognition and management of Budd-Chiari syndrome: Report of one hundred cases Zhonggao Wang, MD, Yu Zhu, MD, Shihua Wang, MD, Lanping Pu, MD, Yonghua.

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Presentation transcript:

Recognition and management of Budd-Chiari syndrome: Report of one hundred cases Zhonggao Wang, MD, Yu Zhu, MD, Shihua Wang, MD, Lanping Pu, MD, Yonghua Du, MD, Hai Zhang, MD, Chao Yuan, MD, Zhong Chen, MD, Manlin Wei, MD, Li Qun Pu, MD, Wei Du, MD, Ming Liu, MD, Xiaoming Liu, MD, George Johnson, MD Journal of Vascular Surgery Volume 10, Issue 2, Pages 149-156 (August 1989) DOI: 10.1016/0741-5214(89)90348-0 Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Phlebogram shows membranous obstruction in the IVC at the level of eighth to ninth thoracic vertebrae. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Phlebogram shows stenosis of the IVC without visualization of the hepatic veins. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Phlebogram shows complete occlusion of the IVC. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Percutaneous transhepatic hepatic vein radiograph shows multiple tortuous and dilated collaterals of the hepatic veins without visualization of the main trunks of hepatic veins characteristic of hepatic venous occlusion. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Diagram shows mesoatrial shunt and innominateatrial shunt. Note use of double layer of graft in middle portion to increase stiffness. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Diagram shows transcardiac membranotomy with finger fracture technique. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 Diagram shows an IVC-atrial shunt. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 8 Diagram shows a splenic-atrial shunt. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 9 Cavogram shows the patency of graft. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 10 IVC web is indicated by an arrow, and massive thrombus in the IVC below the membrane is shown. Journal of Vascular Surgery 1989 10, 149-156DOI: (10.1016/0741-5214(89)90348-0) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions