A Case of Budd-Chiari Syndrome Showing Severe Inspiratory Stenosis of the Diaphragmatic Portion of the Inferior Vena Cava.
10.4326/jjcvs.22.352
- VernacularTitle:横隔膜部狭窄型Ｂｕｄｄ‐Ｃｈｉａｒｉ症候群の１例
- Author:
Saihou HAYASHI
;
Yoshiharu HAMANAKA
;
Taijiro SUEDA
;
Tsuyoshi MATSUSHIMA
;
Kazumasa ORIHASHI
;
Takayuki NOMIMURA
;
Satoru MORITA
;
Tetsuya KAGAWA
;
Yuichiro MATSUURA
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1993;22(4):352-355
- CountryJapan
- Language:Japanese
-
Abstract:
A 74-year-old man presented with swelling in both lower limbs and fatigue. Venography indicated nozzle-like stenosis of the inferior vena cava that appeared during the inspiratory phase but disappeared during the expiratory phase. A large pressure gradient between the upper and lower portion of the stenosis was observed during the expiratory phase. Stenosis during the inspiratory phase was relieved by percutaneous transluminal angioplasty, and symptoms and signs disappeared. Although stenosis occurred only during the inspiratory phase, our patient exhibited symptoms characteristic of Budd-Chiari syndrome. We believe that this patient originally had stenosis of the diaphragmatic portion of the inferior vena cava, and that his symptoms derived from the formation of a parietal thrombus.
