Doppler waveform pattern changes in a patient with primary Budd-Chiari syndrome before and after angioplasty.

Abstract

A 34-year-old woman was admitted for treatment of esophageal varices. Seven years earlier, she had been diagnosed with Budd-Chiari syndrome, and percutaneous transluminal angioplasty (PTA) for right hepatic vein (RHV) stenosis was done. On admission, Doppler sonography showed a flat waveform in the RHV. RHV re-stenosis was confirmed on X-ray sonography. After PTA, the stenosis improved. Heterogeneous liver enhancement on enhanced computed tomography became homogeneous, her esophageal varices became inconspicuous, and the flat Doppler waveform pattern changed to a triphasic pattern. Doppler sonography was very useful for evaluating the effect of angioplasty and to diagnose re-stenosis.

• Authors: Kana Hirooka, Masashi Hirooka, Yoshiyasu Kisaka, Takahide Uehara, Yoichi Hiasa, Kojiro Michitaka, Morikazu Onji
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 47 Issue 2 Pg. 91-5 ( 2008) ISSN: 1349-7235 [Electronic] Japan
• PMID: 18195497 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Angiography
• Angioplasty
• Budd-Chiari Syndrome (complications, physiopathology)
• Esophageal and Gastric Varices (etiology, therapy)
• Female
• Hemorheology
• Hepatic Veins (diagnostic imaging, pathology, surgery)
• Humans
• Portal Vein (diagnostic imaging)
• Ultrasonography, Doppler, Color