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Transcatheter stent implantation in a child with severe stenosis of the inferior caval vein secondary to injury

Published online by Cambridge University Press:  29 March 2021

Nathan Neis
Affiliation:
Children’s Minnesota, Minneapolis, MN55404, USA
Marko Vezmar
Affiliation:
Children’s Minnesota, Minneapolis, MN55404, USA
Timothy Singewald
Affiliation:
Children’s Minnesota, Minneapolis, MN55404, USA
Rodrigo Rios*
Affiliation:
Children’s Minnesota, Minneapolis, MN55404, USA
*
Author for correspondence: Dr. Rodrigo Rios, Children’s Minnesota, 2525 Chicago Ave. Minneapolis, MN55404, USA. Tel: 612-813-8800; Fax: 612-813-8825. E-mail: [email protected]

Abstract

Stenosis of the Inferior Caval Vein is rarely encountered in the paediatric setting. A 5-year-old male sustained severe injuries secondary to a fall from a three story balcony and was subsequently found to have severe stenosis of the inferior caval vein resulting in extensive lymphatic drainage with chylothorax, chyloperitoneum, and severe abdominal ascites. This was successfully treated with transcatheter stent placement resulting in complete resolution of the stenosis and significant clinical improvement allowing for transfer to a rehabilitation centre and eventual discharge home.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Bi, Y., Chen, H., Ding, P. et al. Long-term outcome of recoverable stents for Budd-Chiari syndrome complicated with inferior Vena Cava thrombosis. Sci Rep 2018; 8: 7393. https://doi.org/10.1038/s41598-018-25876-w CrossRefGoogle ScholarPubMed
Lee, BB, Villavicencio, L, Kim, YW, et al. Primary Budd-Chiari syndrome: outcome of endovascular management for suprahepatic venous obstruction. J Vasc Surg. 2006; 43: 101108.CrossRefGoogle ScholarPubMed
Seshadri, R, Kathryn, H, Peter, N. Obstructive lesions of the inferior vena cava: clinical features and endovenous treatment. J Vasc Surg 2006; 44: 820827.Google Scholar
Abrams, B, Hoffman, J, Aftab, M, Evers, J, Seres, T. A rare case of stenosis at the inferior Vena Cava to right atrium anastomosis after bicaval orthotopic heart transplantation. Semin Cardiothorac Vasc Anesth 2019; 23: 418421. doi: 10.1177/1089253219832608 CrossRefGoogle Scholar
Choi, JW, Jae, HJ, Kim, HC, et al. Long-term outcome of endovascular intervention in hepatic venous outflow obstruction following pediatric liver transplantation. Liver Transplant 2015; 21: 12191226.CrossRefGoogle ScholarPubMed
Averin, K, Bucuvalas, J, Alonso, MH, et al. Treatment of inferior Vena Cava obstruction following pediatric liver transplantation: novel use of a customized endovascular stent. J Pediatr 2017; 180: 256260.CrossRefGoogle ScholarPubMed
Wang, C-Y, Liao, CY, Huang, S-C, Yeh, Y-C. Budd–Chiara syndrome and chylothorax, QJM. Int J Med 2016; 109: 211212, https://doi.org/10.1093/qjmed/hcv216 Google Scholar
Kosaka, T, Eguchi, S, Hidaka, M, et al. IVC angioplasty using an autologous vascular graft for IVC stenosis due to metallic stent in a pediatric liver transplant. Pediatr Transplant 2019; 23: e13475. doi: 10.1111/petr.13475 CrossRefGoogle Scholar
Tieu, P, Paes, B, Ahmed, A, Matino, D, Chan, A, Bhatt, M. Inferior vena cava syndrome in neonates: an evidence-based systematic review of the literature. Pediatr Blood Cancer 2020; 67: e28114. doi: 10.1002/pbc.28114. PMID: 31876366.CrossRefGoogle ScholarPubMed
Okyere, I, Yorke, J, Agbeko, EA, Forson, PK, Bonney, J. Inferior vena cava injury: survival of a rare case. Ghana Med J. 2019; 53: 181183. doi: 10.4314/gmj.v53i2.14.CrossRefGoogle ScholarPubMed
McAree, BJ, O’Donnell, ME, Boyd, C, Spence, RA, Lee, B, Soong, CV. Inferior vena cava thrombosis in young adults—a review of two cases. Ulster Med J 2009; 78: 129133.Google ScholarPubMed
Huber, TJ, Hammer, S, Loss, M, et al. Primary stent angioplasty of the inferior vena cava after liver transplantation and liver resection. Cardiovasc Interventional Radiol 2014; 37: 949957. doi: 10.1007/s00270-013-0745-5 CrossRefGoogle ScholarPubMed
Kang, CH, Yang, SB, Lee, WH, et al. Comparison of open-cell stent and closed-cell stent for treatment of central vein stenosis or occlusion in hemodialysis patients. Iran J Radiol 2016; 13: e37994. Published 2016 Sep 11. doi: 10.5812/iranjradiol.37994.CrossRefGoogle ScholarPubMed