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  1 / 3020 MEDLINE  
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[PMID]:29202678
[Au] Autor:Riva N; Ageno W
[Ad] Endereço:1 Department of Pathology, University of Malta, Msida, Malta.
[Ti] Título:Approach to thrombosis at unusual sites: Splanchnic and cerebral vein thrombosis.
[So] Source:Vasc Med;22(6):529-540, 2017 12.
[Is] ISSN:1477-0377
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Splanchnic vein thrombosis (SVT) and cerebral vein thrombosis (CVT) are two manifestations of unusual site venous thromboembolism (VTE). SVT includes thrombosis in the portal, mesenteric or splenic veins, and the Budd-Chiari syndrome. CVT encompasses thrombosis of the dural venous sinuses and thrombosis of the cerebral veins. Unusual site VTE often represents a diagnostic and therapeutic challenge because of the heterogeneity in clinical presentation, the limited evidence available in the literature on the acute and long-term prognosis of these diseases, and the lack of large randomized controlled trials evaluating different treatment options. This narrative review describes the approach to patients with SVT or CVT by examining the diagnostic process, the assessment of potential risk factors and the appropriate anticoagulant treatment.
[Mh] Termos MeSH primário: Anticoagulantes/uso terapêutico
Síndrome de Budd-Chiari/tratamento farmacológico
Veias Cerebrais/fisiopatologia
Trombose Intracraniana/tratamento farmacológico
Oclusão Vascular Mesentérica/tratamento farmacológico
Tromboembolia Venosa/tratamento farmacológico
[Mh] Termos MeSH secundário: Anticoagulantes/efeitos adversos
Síndrome de Budd-Chiari/diagnóstico por imagem
Síndrome de Budd-Chiari/fisiopatologia
Circulação Cerebrovascular
Hemorragia/induzido quimicamente
Seres Humanos
Trombose Intracraniana/diagnóstico por imagem
Trombose Intracraniana/fisiopatologia
Oclusão Vascular Mesentérica/diagnóstico por imagem
Oclusão Vascular Mesentérica/fisiopatologia
Fatores de Risco
Circulação Esplâncnica
Resultado do Tratamento
Tromboembolia Venosa/diagnóstico por imagem
Tromboembolia Venosa/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anticoagulants)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1177/1358863X17734057


  2 / 3020 MEDLINE  
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[PMID]:28834866
[Au] Autor:Lin M; Zhang F; Wang Y; Zhang B; Zhang W; Zou X; Zhang M; Zhuge Y
[Ad] Endereço:aDrum Tower Clinical Medical School, Nanjing Medical University bDepartment of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, China.
[Ti] Título:Liver cirrhosis caused by chronic Budd-Chiari syndrome.
[So] Source:Medicine (Baltimore);96(34):e7425, 2017 Aug.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Chronic Budd-Chiari syndrome (BCS) is a rare cause of liver cirrhosis (LC) and tends to be misdiagnosed in clinical practice. In order to characterize LC caused by chronic BCS, we conducted this retrospective observational study. Medical records of all patients who were initially diagnosed as chronic BCS with LC when discharged from our department from January, 2011 to October, 2016 were reviewed. Cirrhotic patients with known causes and cases lacked key data were excluded. Data of remaining patients was collected and analyzed. A total of 15 cases were included in this study. Patients with LC caused by chronic BCS were characterized by preserved liver function and prominent portal hypertension (PH). Abdominal distention and edema of lower extremities were most common initial manifestations. Intra- or extrahepatic collaterals on imaging studies were of great importance for differential diagnosis. Most of these patients received interventional angioplasty followed by anticoagulation with warfarin and survived without obvious complications of PH. Chronic BCS was a rare but important cause of LC and should always be considered in patients with chronic liver disease and so-called cryptogenic LC. Early diagnosis and timely treatment may improve outcome. Correct interpretation of imaging examinations was fundamental to avoiding misdiagnosis.
[Mh] Termos MeSH primário: Síndrome de Budd-Chiari/etiologia
Síndrome de Budd-Chiari/fisiopatologia
Cirrose Hepática/complicações
[Mh] Termos MeSH secundário: Adulto
Idoso
Síndrome de Budd-Chiari/diagnóstico
China
Diagnóstico Diferencial
Feminino
Seres Humanos
Cirrose Hepática/diagnóstico
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007425


  3 / 3020 MEDLINE  
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[PMID]:28586872
[Au] Autor:Foucar CE; Stein BL
[Ad] Endereço:Department of Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
[Ti] Título:JAK2 V617F Mutation Testing in Patients Presenting With Hepatic and Portal Vein Thrombosis.
[So] Source:JAMA;317(21):2228-2229, 2017 Jun 06.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Janus Quinase 2/genética
Transtornos Mieloproliferativos/genética
Trombose Venosa/genética
[Mh] Termos MeSH secundário: Adulto
Síndrome de Budd-Chiari/etiologia
Síndrome de Budd-Chiari/genética
Feminino
Marcadores Genéticos
Seres Humanos
Mutação
Transtornos Mieloproliferativos/complicações
Transtornos Mieloproliferativos/diagnóstico
Veia Porta
Trombose Venosa/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Genetic Markers); EC 2.7.10.2 (Janus Kinase 2)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170607
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.2329


  4 / 3020 MEDLINE  
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[PMID]:28256911
[Au] Autor:Friedmann I; Balayla J
[Ad] Endereço:a Department of Experimental Medicine , McGill University , Montreal , Canada.
[Ti] Título:Paroxysmal nocturnal haemoglobinuria in a patient with primary Budd-Chiari syndrome: a contraceptive challenge.
[So] Source:Eur J Contracept Reprod Health Care;22(2):152-155, 2017 Apr.
[Is] ISSN:1473-0782
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:CASE REPORT: In this report, we describe the unique case of a 21 year-old woman, gravida 1, para 1, with paroxysmal nocturnal haemoglobinuria (PNH) and Budd-Chiari syndrome, as well as severe vaginismus and cervical stenosis, in need of contraception. Herein, we present the clinical considerations and implications taken to arrive at the right contraceptive choice for the patient. DISCUSSION: Budd-Chiari syndrome is defined by the presence of hepatic venous outflow tract obstruction, which may be due to a number of underlying causes. PNH is a rare, acquired, life-threatening disease characterised by red blood cell destruction (haemolytic anaemia), blood clots (thrombosis) and impaired bone marrow function. PNH is a known underlying cause of Budd?Chiari syndrome. Patients with PNH carry an increased risk of mortality, particularly during pregnancy. As such, pregnancy is absolutely contraindicated in these patients, who require strict contraceptive regimens. However, the presence of both PNH and Budd?Chiari syndrome limits contraceptive choices and poses a contraceptive challenge.
[Mh] Termos MeSH primário: Síndrome de Budd-Chiari/complicações
Anticoncepcionais Orais Combinados/administração & dosagem
Hemoglobinúria Paroxística/complicações
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Vaginismo/complicações
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptives, Oral, Combined)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE
[do] DOI:10.1080/13625187.2017.1288904


  5 / 3020 MEDLINE  
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[PMID]:28245832
[Au] Autor:Li W; Wang Y; Gao W; Zheng J
[Ad] Endereço:Center of Interventional Oncology and Liver Diseases, Beijing You'an Hospital, Capital Medical University, 8 Xitoutiao, Youanmenwai St., Fengtai Dist., Beijing, 100069, People's Republic of China.
[Ti] Título:HCC with tumor thrombus entering the right atrium and inferior vena cava treated by percutaneous ablation.
[So] Source:BMC Surg;17(1):21, 2017 Feb 28.
[Is] ISSN:1471-2482
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In the advanced stages of hepatocellular carcinoma (HCC), a tumor thrombus (TT) can form in the portal or hepatic vein. The management of patients with advanced HCC and a TT extending into the right atrium (RA) and inferior vena cava (IVC) is extremely difficult and risky. CASE PRESENTATION: We report the case of a patient with HCC and a large TT (85 × 45 mm) extending into the RA through the hepatic vein and IVC, which is very rare. We performed percutaneous microwave ablation of the TT and the two intrahepatic tumors (maximum diameter, 57 mm). The treatment shrank the tumors, and the patient is in good condition and has survived for 16 months thus far. A literature review was also performed. This is the first such case to be treated with percutaneous microwave ablation. CONCLUSION: The outcomes in this case suggest that percutaneous ablation is useful for the treatment of TT extending into the RA and IVC in patients with HCC.
[Mh] Termos MeSH primário: Síndrome de Budd-Chiari/cirurgia
Carcinoma Hepatocelular/cirurgia
Ablação por Cateter
Neoplasias Hepáticas/cirurgia
[Mh] Termos MeSH secundário: Idoso
Síndrome de Budd-Chiari/patologia
Carcinoma Hepatocelular/diagnóstico por imagem
Átrios do Coração/diagnóstico por imagem
Átrios do Coração/cirurgia
Seres Humanos
Neoplasias Hepáticas/diagnóstico por imagem
Masculino
Micro-Ondas
Veia Cava Inferior/diagnóstico por imagem
Veia Cava Inferior/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE
[do] DOI:10.1186/s12893-017-0217-y


  6 / 3020 MEDLINE  
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[PMID]:28236047
[Au] Autor:Zhou PL; Yan L; Wu G; Han XW; Zhang WG
[Ad] Endereço:Department of Interventional Radiology, The First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan, China.
[Ti] Título:Value of blood flow velocity on color Doppler ultrasonography for optimization of delay in scanning time on computed tomography venography in patients with Budd-Chiari syndrome and inferior vena cava obstruction.
[So] Source:Radiol Med;122(6):399-404, 2017 Jun.
[Is] ISSN:1826-6983
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To prospectively determine the value of blood flow velocity in the inferior vena cava (IVC) on color Doppler ultrasonography for the optimization of the delay in scanning time after contrast injection during computed tomography (CT) venography in patients with Budd-Chiari syndrome (BCS) with IVC obstruction. METHODS: We enrolled 122 consecutive BCS patients with IVC obstruction. All patients underwent color Doppler ultrasonography, CT venography, and digital subtraction angiography (DSA) in that order prior to treatment. The delay in scanning time during CT venography was set at 120, 180, 240, and 300 s after contrast injection. The correlation between delay in CT scanning and IVC blood flow velocity on color Doppler ultrasonography was explored. Image quality was classified as good, moderate, or poor. Patients with good CT image quality were considered to have an optimal delay in scanning time. RESULTS: Delays in scanning time of 120, 180, 240, and 300 s yielded good-quality images in 2, 7, 49, and 64 patients, respectively. The corresponding IVC blood flow velocities in these patients were 16.10 ± 0.42 cm/s (range 15.8-16.4 cm/s), 12.90 ± 1.58 cm/s (range, 11-15 cm/s), 7.53 ± 1.35 cm/s (range 5-10 cm/s), and 1.95 ± 1.75 cm/s (range 0-5.5 cm/s). CONCLUSION: IVC blood flow velocity on color Doppler ultrasonography could serve as a useful tool for the optimization of the delay in scanning time during CT venography to ensure good-quality images for the diagnosis of BCS with IVC obstruction.
[Mh] Termos MeSH primário: Síndrome de Budd-Chiari/fisiopatologia
Tomografia Computadorizada por Raios X
Ultrassonografia Doppler em Cores
Veia Cava Inferior/diagnóstico por imagem
Veia Cava Inferior/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Velocidade do Fluxo Sanguíneo
Criança
Feminino
Seres Humanos
Masculino
Meia-Idade
Flebografia/métodos
Estudos Prospectivos
Fatores de Tempo
Veia Cava Inferior/anormalidades
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171104
[Lr] Data última revisão:
171104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170226
[St] Status:MEDLINE
[do] DOI:10.1007/s11547-017-0730-1


  7 / 3020 MEDLINE  
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[PMID]:28216969
[Au] Autor:Sakr M; Abdelhakam SM; Elsayed SA; Allam EH; Farid AM; Abdelmoaty W; Hassan AM; Shaker M; El-Gharib M; Eldorry A
[Ad] Endereço:Mohammad Sakr, Sara M Abdelhakam, Soheir A Elsayed, Enas H Allam, Amir M Farid, Waleed Abdelmoaty, Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo 11341, Egypt.
[Ti] Título:Validation of prognostic indices in Egyptian Budd-Chiari syndrome patients: A single-center study.
[So] Source:World J Gastroenterol;23(4):629-637, 2017 Jan 28.
[Is] ISSN:2219-2840
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To compare predictive ability of Budd-Chiari syndrome (BCS) prognostic indices (PIs) for one-year survival and Transjugular intrahepatic portosystemic shunt (TIPS) patency. METHODS: This retrospective study enrolled 194 Egyptian patients with primary BCS who presented to the Budd-Chiari Study Group of Ain Shams University Hospital. Calculation of the available PIs was performed using Child-Pugh and model for end-stage liver disease scores, BCS-specific PIs (Clichy, New Clichy and Rotterdam) for all patients, and BCS-TIPS PI only for patients who underwent TIPS. The overall one-year survival rate and the one-year shunt patency rate for TIPS were reported. RESULTS: The overall one-year survival rate was 69.6%, and the New Clichy PI revealed the best validity for its prediction at a cut-off value of 3.75, with sensitivity and specificity of 78% and 73.3%, respectively [area under receiver operating characteristic curve (AUC) = 0.806]. The one-year survival rate post-TIPS was 89.7%, and the BCS-TIPS score demonstrated validity for its prediction at a cut-off value of 3.92 (sensitivity and specificity were 71.4% and 64.5%, respectively) (AUC = 0.715). Logistic regression analysis revealed that the New Clichy PI ( = 0.030), high serum total bilirubin ( = 0.047) and low albumin ( < 0.001) were independent factors for predicting mortality within one year. The one-year shunt patency rate in TIPS was 80.2%, and none of the PIs exhibited significant validity for its prediction. CONCLUSION: The New Clichy score could independently predict the one-year survival in Egyptian BCS patients.
[Mh] Termos MeSH primário: Síndrome de Budd-Chiari/diagnóstico
Derivação Portossistêmica Transjugular Intra-Hepática
[Mh] Termos MeSH secundário: Adulto
Área Sob a Curva
Egito
Feminino
Seres Humanos
Masculino
Prognóstico
Curva ROC
Análise de Regressão
Reprodutibilidade dos Testes
Estudos Retrospectivos
Sensibilidade e Especificidade
Stents
Taxa de Sobrevida
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170221
[St] Status:MEDLINE
[do] DOI:10.3748/wjg.v23.i4.629


  8 / 3020 MEDLINE  
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[PMID]:28153486
[Au] Autor:Mukund A; Pargewar SS; Desai SN; Rajesh S; Sarin SK
[Ad] Endereço:Departments of Radiology, Institute of Liver and Biliary Sciences, D-1, Vasant Kunj, New Delhi110070, India. Electronic address: dramarmukund@gmail.com.
[Ti] Título:Changes in Liver Congestion in Patients with Budd-Chiari Syndrome following Endovascular Interventions: Assessment with Transient Elastography.
[So] Source:J Vasc Interv Radiol;28(5):683-687, 2017 May.
[Is] ISSN:1535-7732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Transient elastography (TE) is routinely used for noninvasive staging of hepatic fibrosis. The objective of the present study was to investigate the role of TE (FibroScan) in determining changes in liver congestion in patients with Budd-Chiari syndrome (BCS) treated by endovascular interventions and determine the effects of pretreatment Meta-analysis of Histological Data in Viral Hepatitis (METAVIR) fibrosis score on posttreatment liver stiffness (LS). MATERIALS AND METHODS: Twenty-five patients undergoing endovascular procedures for treatment of BCS underwent TE immediately before and within 24 hours after the procedure. Fifteen patients available for 3-month follow-up were again subjected to TE. Mean LS values before and after intervention were compared in 12 of these patients for whom METAVIR scores were available. Pressure gradient changes across the stenosed hepatic veins/inferior vena cava were measured during the procedure. Statistical analysis of these data was performed by Wilcoxon signed-rank test, Mann-Whitney U test, and Pearson product-moment correlation coefficient. RESULTS: Significant differences were found between mean LS measurements before and within 24 hours after intervention (Z-score = 4.372) and between the mean values obtained before and 3 months after treatment (Z-score = 3.408). Mean changes in LS values after intervention in patients with METAVIR fibrosis scores ≤ 2 and > 2 were not significant. There was no correlation between changes in pressure gradients and the degree of LS. CONCLUSIONS: TE is a useful tool to assess the reduction in hepatic congestion in patients with BCS undergoing endovascular interventions.
[Mh] Termos MeSH primário: Síndrome de Budd-Chiari/diagnóstico por imagem
Síndrome de Budd-Chiari/terapia
Técnicas de Imagem por Elasticidade
Procedimentos Endovasculares/métodos
Cirrose Hepática/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Feminino
Seres Humanos
Masculino
Meia-Idade
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE


  9 / 3020 MEDLINE  
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[PMID]:28116521
[Au] Autor:Matsukuma S; Takeo H; Utsumi Y; Sato K
[Ad] Endereço:Department of Pathology, Japan Self-Defense Forces Central Hospital, 1-2-24 Ikejiri, Setagaya-ku, Tokyo, 154-8532, Japan. skuma@cocoa.plala.or.jp.
[Ti] Título:In hepatic venous outflow obstruction, alcoholic liver disease, and nonalcoholic fatty liver disease, centrilobular scars, CD34+ vessels, and keratin 7+ hepatocytes are in close proximity.
[So] Source:Virchows Arch;470(4):411-420, 2017 Apr.
[Is] ISSN:1432-2307
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:For hepatic venous outflow obstruction, alcoholic liver injury, and nonalcoholic fatty liver disease, the term "centrizonal injury disease" (CID) is used, because injury patterns in all three entities are similar. To elucidate CID-related CD34+ vessels (sinusoids and/or microvessels) and keratin 7+ hepatocytes (K7+ Hs), we examined a series of 41 liver tissue specimens obtained at autopsy and surgery, consisting of 32 CID cases and 9 controls. Centrizonal scars were found in 21 CID cases, and these were associated with centrizonal CD34+ vessels (P = 0.009) and centrizonal K7+ Hs (P < 0.001). Centrizonal coexistence of CD34+ vessels and K7+ Hs was observed in 22 CID cases (P = 0.057). These findings suggest close centrizonal proximity of scar, CD34+ vessels, and K7+ Hs in CID. However, centrizonal K7+ Hs without CD34+ vessels were observed in 21 CID cases. CD34+ vessels were detectable in all control samples and may represent the normal vascular bed. In 29 CID cases, centrizonal CD34+ vessel density was higher than that in controls. However, most appeared to be continuous with periportal and/or interlobular CD34+ vessels, and those CD34+ vessels restricted to centrizonal regions were focal and limited in seven CID cases. Centrizonal CD34+ vessels were associated with venoportal adhesions (P = 0.027). Our findings suggest that CID induces both venoportal adhesion-related structural distortion and expansion of normally present CD34+ vessels, which may result in increased centrizonal CD34+ vessel density.
[Mh] Termos MeSH primário: Síndrome de Budd-Chiari/patologia
Hepatócitos/patologia
Hepatopatias Alcoólicas/patologia
Hepatopatia Gordurosa não Alcoólica/patologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Antígenos CD34/biossíntese
Capilares/patologia
Cicatriz/patologia
Feminino
Seres Humanos
Queratina-7/biossíntese
Fígado/irrigação sanguínea
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antigens, CD34); 0 (KRT7 protein, human); 0 (Keratin-7)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1007/s00428-017-2074-6


  10 / 3020 MEDLINE  
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[PMID]:28086841
[Au] Autor:Kobryn K; Paluszkiewicz R; Dudek K; Oldakowska-Jedynak U; Korba M; Raszeja-Wyszomirska J; Remiszewski P; Grat M; Milkiewicz P; Patkowski W; Krawczyk M
[Ad] Endereço:Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Poland. Banacha Street 1a, 02-097, Warsaw, Poland. konradkobryn@gmail.com.
[Ti] Título:Good outcome following liver transplantation using pericardial-peritoneum window for hepato-atrial anastomosis to overcome advanced hepatic alveolar echinococcosis and secondary Budd-Chiari Syndrome - a case report.
[So] Source:BMC Surg;17(1):5, 2017 Jan 13.
[Is] ISSN:1471-2482
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This report presents a case of a 57- year old female with advanced Hepatic Alveolar Echinococcosis causing a secondary Budd-Chiari Syndrome due to infiltration of the suprahepatic inferior vena cava treated successfully by liver transplantation. CASE PRESENTATION: A temporary veno-venous bypass was introduced, but a typical end to end cavo-caval anastomosis wasn't possible in this case. In order to access a disease free part of the inferior vena cava, an oval window of the diaphragm was excised, providing communication between the peritoneum and pericardium. A vascular clamp was placed onto the right atrium which allowed for an atrial-caval anastomosis. The remainder of hepatectomy was performed in a conventional manner. In the post-operative period and during the 18 month follow-up there were no complications. The patient remains in good general condition with optimal graft function. CONCLUSIONS: A hepato-atrial anastomosis with a pericardial-peritoneum window during liver transplantation is feasible and extends the curability potential for patients with advanced Hepatic Alveolar Echinococcosis considered for liver transplantation.
[Mh] Termos MeSH primário: Síndrome de Budd-Chiari/etiologia
Equinococose Hepática/cirurgia
Transplante de Fígado
[Mh] Termos MeSH secundário: Equinococose Hepática/complicações
Feminino
Seguimentos
Hepatectomia/métodos
Seres Humanos
Meia-Idade
Pericárdio
Peritônio
Veia Cava Inferior
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170115
[St] Status:MEDLINE
[do] DOI:10.1186/s12893-017-0205-2



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