Focal elastic obstruction of the inferior vena cava

Obstruction of the supra‐hepatic inferior vena cava (IVC) is a common cause of hepatic venous hypertension and the most common cause of Budd‐Chiari Syndrome. Because most cases of IVC obstruction go undiagnosed until Budd‐Chiari Syndrome develops, the natural history of IVC obstruction is not well defined. We report a case of a focal, elastic, non‐membranous obstruction of the IVC causing hepatic venous hypertension and elevated serum transaminases in a 36‐year‐old man. The obstruction was successfully treated with placement of a self‐expanding metallic stent with normalization of hepatic transaminases. Cathet. Cardiovasc. Intervent. 51:494–499, 2000. © 2000 Wiley‐Liss, Inc.

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