Japanese Journal of Cardiovascular Surgery
Online ISSN : 1883-4108
Print ISSN : 0285-1474
ISSN-L : 0285-1474
A Case of Budd-Chiari Syndrome Showing Severe Inspiratory Stenosis of the Diaphragmatic Portion of the Inferior Vena Cava
Saihou HAYASHIYoshiharu HAMANAKATaijiro SUEDATsuyoshi MATSUSHIMAKazumasa ORIHASHITakayuki NOMIMURASatoru MORITATetsuya KAGAWAYuichiro MATSUURA
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1993 Volume 22 Issue 4 Pages 352-355

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Abstract
A 74-year-old man presented with swelling in both lower limbs and fatigue. Venography indicated nozzle-like stenosis of the inferior vena cava that appeared during the inspiratory phase but disappeared during the expiratory phase. A large pressure gradient between the upper and lower portion of the stenosis was observed during the expiratory phase. Stenosis during the inspiratory phase was relieved by percutaneous transluminal angioplasty, and symptoms and signs disappeared. Although stenosis occurred only during the inspiratory phase, our patient exhibited symptoms characteristic of Budd-Chiari syndrome. We believe that this patient originally had stenosis of the diaphragmatic portion of the inferior vena cava, and that his symptoms derived from the formation of a parietal thrombus.
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© The Japanese Society for Cardiovascular Surgery
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