Balloon Angioplasty for Budd-Chiari Syndrome Resulting from Primary Repair of an Inferior Vena Cava Injury

하대정맥 손상후 일차봉합술로 인해 발생한 버드-키아리 증후군 환자를 혈관성형술로 치료한 증례보고

  • Sim, Joohyun (Department of Surgery, Ajou University Hospital) ;
  • Won, Je Hwan (Department of Radiology, Ajou University Hospital) ;
  • Jung, Kyoungwon (Division of Trauma Surgery, Department of Surgery, Ajou University Hospital) ;
  • Lee, Cook John (Division of Trauma Surgery, Department of Surgery, Ajou University Hospital) ;
  • Kim, Young Hwan (Division of Trauma Surgery, Department of Surgery, Ajou University Hospital)
  • 심주현 (아주대학교병원 외과) ;
  • 원제환 (아주대학교병원 영상의학과) ;
  • 정경원 (아주대학교병원 외상외과) ;
  • 이국종 (아주대학교병원 외상외과) ;
  • 김영환 (아주대학교병원 외상외과)
  • Received : 2014.06.16
  • Accepted : 2014.07.30
  • Published : 2014.12.31

Abstract

Budd-Chiari syndrome is an uncommon condition characterized by hepatic outflow obstruction. Direct suture of the injured Inferior vena cava in a patient with blunt hepatic trauma also may cause an equivalent condition. However, early diagnosis is possible with common symptoms and radiologic evaluation. Moreover, a transluminal approach with balloon angioplasty could prevent long-term complications of Budd-Chiari syndrome without repeated abdominal surgery.

Keywords

References

  1. Cudworth M, Fulle A, Ramos JP, Arriagada I. GCS as a predictor of mortality in patients with traumatic inferior vena cava injuries: a retrospective review of 16 cases. World J Emerg Surg 2013; 8: 59. https://doi.org/10.1186/1749-7922-8-59
  2. Cole K, Shadis R, Sullivan TR, Jr. Retrohepatic hematoma causing caval compression after blunt abdominal trauma. J Surg Educ 2009; 66: 48-50. https://doi.org/10.1016/j.jsurg.2008.09.004
  3. Patel NH, Bradshaw B, Meissner MH, Townsend MF. Posttraumatic Budd-Chiari syndrome treated with thrombolytic therapy and angioplasty. J Trauma 1996; 40: 294-8. https://doi.org/10.1097/00005373-199602000-00022
  4. Darwish Murad S, Plessier A, Hernandez-Guerra M, Fabris F, Eapen CE, Bahr MJ, et al. Etiology, management, and outcome of the Budd-Chiari syndrome. Ann Intern Med 2009; 151: 167-75. https://doi.org/10.7326/0003-4819-151-3-200908040-00004
  5. Slakey DP, Klein AS, Venbrux AC, Cameron JL. Budd- Chiari syndrome: current management options. Ann Surg 2001; 233: 522-7. https://doi.org/10.1097/00000658-200104000-00007
  6. Li T, Zhai S, Pang Z, Ma X, Cao H, Bai W, et al. Feasibility and midterm outcomes of percutaneous transhepatic balloon angioplasty for symptomatic Budd-Chiari syndrome secondary to hepatic venous obstruction. J Vasc Surg 2009; 50: 1079-84. https://doi.org/10.1016/j.jvs.2009.06.049
  7. Wu T, Wang L, Xiao Q, Wang B, Li S, Li X, et al. Percutaneous balloon angioplasty of inferior vena cava in Budd-Chiari syndrome-R1. Int J Cardiol 2002; 83: 175-8. https://doi.org/10.1016/S0167-5273(02)00037-2
  8. Markert DJ, Shanmuganathan K, Mirvis SE, Nakajima Y, Hayakawa M. Budd-Chiari syndrome resulting from intrahepatic IVC compression secondary to blunt hepatic trauma. Clin Radiol 1997; 52: 384-7. https://doi.org/10.1016/S0009-9260(97)80135-3
  9. Buckman RF, Jr., Miraliakbari R, Badellino MM. Juxtahepatic venous injuries: a critical review of reported management strategies. J Trauma 2000; 48: 978-84. https://doi.org/10.1097/00005373-200005000-00030
  10. Denton JR, Moore EE, Coldwell DM. Multimodality treatment for grade V hepatic injuries: perihepatic packing, arterial embolization, and venous stenting. J Trauma 1997; 42: 964-7; discussion 7-8. https://doi.org/10.1097/00005373-199705000-00031
  11. Prichayudh S, Sirinawin C, Sriussadaporn S, Pak-Art R, Kritayakirana K, Samorn P, et al. Management of liver injuries: Predictors for the need of operation and damage control surgery. Injury 2014.