Budd-Chiari syndrome due to hepatic venous web outflow obstruction: percutaneous treatment with balloon angioplasty

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:
Budd-Chiari syndrome; venous thrombosis; angioplasty; endovascular procedures

Authorship

Patrick Bastos Metzger

Escola Bahiana de Medicina e Saúde Pública – EBMSP, Salvador, BA, Brasil.Escola Bahiana de Medicina e Saúde PúblicaBrasilSalvador, BA, BrasilEscola Bahiana de Medicina e Saúde Pública – EBMSP, Salvador, BA, Brasil.

http://orcid.org/0000-0002-1717-1370

Kamilla Rosales Costa

http://orcid.org/0000-0003-1920-5666

Simone Lessa e Silva

Hospital Santo Antônio, Obra Sociais Irmã Dulce – OSID, Salvador, BA, Brasil.Hospital Santo AntônioBrasilSalvador, BA, BrasilHospital Santo Antônio, Obra Sociais Irmã Dulce – OSID, Salvador, BA, Brasil.

Valter Ribeiro dos Santos Junior