Skip to main content
SpringerLink
Log in

Successful stenting for Budd–Chiari syndrome after pediatric liver transplantation: a case series and review of the literature

  • Original Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Hepatic venous outflow obstruction, known as Budd–Chiari syndrome, is a rare but serious complication of orthotopic liver transplantation and may lead to graft loss. Our aim was to describe a single center experience of percutaneous interventional management of hepatic outflow obstruction post liver transplantation in children. Three children with post-transplant hepatic venous outflow obstruction were treated successfully with percutaneous stent placement. This resulted in long-term resolution of symptoms and was superior to balloon angioplasty both in our series and in cases reported in the literature. Stenting may be the treatment of choice for hepatic venous obstruction after pediatric liver transplantation, particularly if there is a recurrence of stenosis after balloon dilatation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Someda H, Moriyasu F, Fujimoto et al. (1995) Vascular complications in living related liver transplantation detected with intra-operative and post-operative Doppler US. J Hepatol 22:623-632

    Article  CAS  PubMed  Google Scholar 

  2. Cheng YF, Chen YS, Huang TL, et al. (2001) Interventional radiologic procedures in liver transplantation. Transplant Int 14:223

    Article  CAS  Google Scholar 

  3. Dousset B, Legmann P, Soubrane O, et al. (1997) Protein-losing enteropathy to hepatic venous outflow obstruction after liver transplantation. J Hepatol 27:206

    Article  CAS  PubMed  Google Scholar 

  4. Sze DY, Semba CP, Razavi MK, Kee ST, Dake MD (1999) Endovascular treatment of hepatic venous outflow obstruction after piggyback technique liver transplantation. Transplantation 68:446

    Article  CAS  PubMed  Google Scholar 

  5. Orons PD, Zajko AB (1995) Angiography and interventional procedures in liver transplantation. Radiol Clin North Am 33:541

    CAS  PubMed  Google Scholar 

  6. Egawa H, Tanaka K, Uemoto S, et al. (1993) Relief of hepatic vein stenosis by balloon angioplasty after living-related donor liver transplantation. Clin Transplant 7:306

    CAS  PubMed  Google Scholar 

  7. Zajko AB, Claus D, Clapuyt P, et al. (1989) Obstruction to hepatic venous drainage after liver transplantation: treatment with balloon angioplasty. Radiology 170:763

    CAS  PubMed  Google Scholar 

  8. Lee WS, John P, McKiernan K, de Ville de Goyet J, Kelly DA (2002) Inferior vena cava occlusion and protein enteropathy after liver transplantation in children. J Pediatr Gastroenterol Nutr 34:413

    Article  PubMed  Google Scholar 

  9. Karrer FM, Kam I, Brandt C (1994) Budd–Chiari syndrome after reduced-size liver transplantation. Transplant Proc 26:187

    CAS  PubMed  Google Scholar 

  10. Roberts KB, Barrowman JA (1979) Liver blood supply. In: Chandra RK (ed) The liver and biliary system in infants and children. Churchill Livingstone, New York, p 43

  11. Nakazawa Y, Josson JR, Walker NI, et al. (2000) Fibrous obliterative lesions of veins contribute to progressive fibrosis in chronic liver allograft rejection. Hepatology 32:1240

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Paediatric Gastroenterology and Clinical Nutrition, Royal Children’s Hospital, Flemington Road, 3052, Parkville, Melbourne, Victoria, Australia

    Sanguansak Rerksuppaphol, Winita Hardikar & Arnold L. Smith

  2. Department of Paediatric Cardiology, Royal Children’s Hospital, 3052, Melbourne, Australia

    James L. Wilkinson & Tiow H. Goh

  3. Victorian Liver Transplant Unit, Austin Hospital, 3084, Melbourne, Australia

    Peter Angus & Robert Jones

Authors
  1. Sanguansak Rerksuppaphol
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Winita Hardikar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Arnold L. Smith
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. James L. Wilkinson
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tiow H. Goh
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Peter Angus
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Robert Jones
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Winita Hardikar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rerksuppaphol, S., Hardikar, W., Smith, A.L. et al. Successful stenting for Budd–Chiari syndrome after pediatric liver transplantation: a case series and review of the literature. Ped Surgery Int 20, 87–90 (2004). https://doi.org/10.1007/s00383-003-1093-3

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-003-1093-3

Keywords

Search

Navigation