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New approach to dilation of stenotic lesions through the accessory hepatic vein in Budd- Chiari syndrome  Zhanguo Sun, MD, Jingjun Jiang, MD, Wei Li, PhD,

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Presentation on theme: "New approach to dilation of stenotic lesions through the accessory hepatic vein in Budd- Chiari syndrome  Zhanguo Sun, MD, Jingjun Jiang, MD, Wei Li, PhD,"— Presentation transcript:

1 New approach to dilation of stenotic lesions through the accessory hepatic vein in Budd- Chiari syndrome  Zhanguo Sun, MD, Jingjun Jiang, MD, Wei Li, PhD, Xuemin Zhang, MD, Xiaoming Zhang, MD, Changshun He, PhD  Journal of Vascular Surgery Cases  Volume 1, Issue 1, Pages (March 2015) DOI: /j.jvsc Copyright © 2015 The Authors Terms and Conditions

2 Fig 1 A, Long obstructive lesion of the hepatic segment of the inferior vena cava (IVC), accessory hepatic vein (AHV) compensatory enlargement, and dilation of the abundant intrahepatic communicating branched veins. B, Severe stenosis of the IVC. C and D, The lesion was subjected to balloon angioplasty (diameters of 8 mm and 14 mm successively). E, The stenosis had disappeared. F, The blood flow to the heart through the hepatic vein (HV) returned to normal. Journal of Vascular Surgery Cases 2015 1, 42-45DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

3 Fig 2 A, Severe stenosis of the inferior vena cava (IVC) and stenosis of the opening of the accessory hepatic vein (AHV). B, Obstruction at the junction of the right hepatic vein (HV) and the IVC. C and D, Angioplasty with a balloon 10 mm in diameter. E, The stenosis of the HV had disappeared. F, The stenosis of the IVC had disappeared. Journal of Vascular Surgery Cases 2015 1, 42-45DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

4 Fig 3 The schematic drawing of this new approach. AHV, Accessory hepatic vein; FV, femoral vein; HV, hepatic vein; IVC, inferior vena cava. Journal of Vascular Surgery Cases 2015 1, 42-45DOI: ( /j.jvsc ) Copyright © 2015 The Authors Terms and Conditions

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