Maintenance of Minute Circulation Volume during Orthotopic Liver Transplantation

Levit, Dana; Чванов, Е. А.; Петрищев, Ю. И.; Левит, А Л

doi:10.15360/1813-9779-2011-3-23

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…The therapeutic measures can be divided into three major categories: medical, surgical and endovascular [21]. The initial therapeutic strategy includes anticoagulation, correcting the risk factors, diuretics and prophylaxis of portal hypertension; then it follows the angioplasty for the short vein obstructions, then the transjugular intrahepatic portosystemic shunt and at the end the hepatic transplant indicated in the patients presenting the worsening of the clinical evolution, to those reticent to the medical treatment and/or the interventional radiologic treatment [22,23]. In clinical practice, overcoming the therapeutic resources is guided by the response to the previous treatment.…”

Section: Resultsmentioning

confidence: 99%

Budd-Chiari Syndrome:Rare Cause, But Important of Portal Hypertension

G¹,

Pelin²,

Macovei³

et al. 2017

Rev. Chim.

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Budd-Chiari syndrome (BCS) (artery-occlusive hepatic disease) is a rare disease characterized by the obstruction of the blood flow at the level of the suprahepatic veins till their flow in the inferior vena cava (IVC) or at the level of IVC on the segment between the suprahepatic veins and the right atrium. The most frequent symptoms are abdominal pains, hepatomegaly and ascites. The imagistic investigations have an essential role in the early establishment of the diagnostic, evaluating the extension of disease and the management of BCS. Treatment depends on the presence or absence of symptoms and how acute the disease is.We present the case of a 43-years old woman, who had had for two month dyspeptic symptoms, increase of volume of the abdomen and oedema in the lower limbs. The biological investigations indicated hepatic dysfunction and thrombocytosis. The abdominal ultrasound showed modifications of chronic hepatopathy with signs of portal hypertension. The abdominal computer-tomography emphasized hepatomegaly with multiple nodules of regeneration, signs of portal hypertension (splenomegaly, moderate ascites), caudate lobe hypertrophy and thrombosis IVC. The patient was diagnosed with BCS and essential thrombocythemia. She started the medical treatment and was listed for liver transplantation. Budd-Chiari syndrome has to be taken into account every time we investigate the etiology of an acute or chronic hepatopathies, because the early diagnose can improve the patient�s prognostic.

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Section: Resultsmentioning

confidence: 99%

Budd-Chiari Syndrome:Rare Cause, But Important of Portal Hypertension

G¹,

Pelin²,

Macovei³

et al. 2017

Rev. Chim.

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Liver transplantation in a patient with primary antiphospholipid syndrome and Budd-Chiari syndrome

Reshetnyak

Середавкина

Сатыбалдыева

et al. 2015

WJH

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The antiphospholipid syndrome (APS) is an acquired thrombophilic disorder in which autoantibodies are produced to a variety of phospholipids determinants of cell membranes or phospholipid binding proteins. There are few reports about association between antiphospholipid antibodies and development of Budd-Chiari syndrome (BCS). We report the case of BCS development in young Russian male with primary APS. The patient underwent orthotopic liver transplantation on August 26, 2012. At present time his state is good, the blood flow in the liver restored and its function is not impaired. We report about the first time the successful use of dabigatran etexilate for prolonged anticoagulation therapy in APS patient with BCS. In addition patient is managed with immunosuppressive drugs.

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Maintenance of Minute Circulation Volume during Orthotopic Liver Transplantation

Cited by 2 publications

References 2 publications

Budd-Chiari Syndrome:Rare Cause, But Important of Portal Hypertension

Budd-Chiari Syndrome:Rare Cause, But Important of Portal Hypertension

Liver transplantation in a patient with primary antiphospholipid syndrome and Budd-Chiari syndrome

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