Síndrome de Budd-Chiari por obstrução da via de saída da veia hepática por membrana: tratamento percutâneo por angioplastia com balão
Budd-Chiari syndrome due to hepatic venous web outflow obstruction: percutaneous treatment with balloon angioplasty
Patrick Bastos Metzger; Kamilla Rosales Costa; Simone Lessa e Silva; Valter Ribeiro dos Santos Junior; Vinicius Nunes; Murilo Quadro Berbert Freire; Milton Oliveira de Albuquerque Mello Neto
Resumo
Palavras-chave
Abstract
The Budd-Chiari syndrome is a rare hepatic venous disease. It is more prevalent in young adults and may present in acute, subacute, or chronic forms, causing portal hypertension. Traditional treatment consists of thrombolysis techniques and transjugular intrahepatic portosystemic shunt, as a bridge to liver transplantation. Recently, use of balloon or stent angioplasty techniques has been reported for treatment of this condition. In this article, we report and discuss a case of BCS by membranous obstruction in the hepatic vein outflow tract, with middle hepatic vein thrombosis, in a 24-year-old patient. The treatment chosen and employed was transjugular balloon angioplasty, which achieved satisfactory results and good clinical evolution.
Keywords
References
1 Li Y, De Stefano V, Li H, et al. Epidemiology of Budd-Chiari syndrome: a systematic review and meta-analysis. Clin Res Hepatol Gastroenterol. 2019;43(4):468-74.
2 Bozorgmanesh A, Selvam DA, Caridi JG. Budd-Chiari syndrome: hepatic venous web outflow obstruction treated by percutaneous placement of hepatic vein stent. Semin Intervent Radiol. 2007;24(1):100-5.
3 Mukund A, Gamanagatti S. Imaging and interventions in Budd-Chiari syndrome. World J Radiol. 2011;3(7):169-77.
4 Bayraktar UD, Seren S, Bayraktar Y. Hepatic venous outflow obstruction: three similar syndromes. World J Gastroenterol. 2007;13(13):1912-27.
5 Ding PX, Liu C, Han XW, Ding JY, Tse G, Lee EW. Obstructed membranous transformation of the inferior vena cava in patients with hepatic vein-type Budd-Chiari syndrome: a case series. Clin Res Hepatol Gastroenterol. 2020;44(2):e17-24.
6 Cheng DL, Zhu N, Xu H, et al. Outcomes of endovascular interventional therapy for primary Budd-Chiari syndrome caused by hepatic venous obstruction. Exp Ther Med. 2018;16(5):4141-9.
7 Sparano J, Chang J, Trasi S, Bonanno C. Treatment of the Budd-Chiari syndrome with percutaneous transluminal angioplasty: case report and review of the literature. Am J Med. 1987;82(4):821-8.
8 Lee BB, Villavicencio L, Kim YW, et al. Primary Budd-Chiari syndrome: outcome of endovascular management for suprahepatic venous obstruction. J Vasc Surg. 2006;43(1):101-8.
9 Qi X, Han G, Guo X, et al. Review article: the aetiology of primary Budd-Chiari syndrome: differences between the West and China. Aliment Pharmacol Ther. 2016;44(11-12):1152-67.
10 Valla DC. Budd-Chiari syndrome/hepatic venous outflow tract obstruction. Hepatol Int. 2018;12(Supl 1):168-80.
11 Souza AI, Batista M Fo, Ferreira LOC. Alterações hematológicas e gravidez. Rev Bras Hematol Hemoter. 2002;24(1):29-36.
Submitted date:
07/19/2020
Accepted date:
08/24/2020
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email