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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 on theme: "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."— Presentation transcript:

1 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 (August 1989) DOI: / (89) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

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

3 Fig. 2 Phlebogram shows stenosis of the IVC without visualization of the hepatic veins. Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 Phlebogram shows complete occlusion of the IVC.
Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 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  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 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  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

7 Fig. 6 Diagram shows transcardiac membranotomy with finger fracture technique. Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

8 Fig. 7 Diagram shows an IVC-atrial shunt.
Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

9 Fig. 8 Diagram shows a splenic-atrial shunt.
Journal of Vascular Surgery  , DOI: ( / (89) ) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

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

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

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