Sternotomy and extracorporal circulation for fulminant Budd-Chiari syndrome due to leiomyosarcoma of the inferior vena cava
Abstract Background Budd–Chiari syndrome is a rare and severe vascular liver disease. We presented patient with fulminant liver failure secondary to leiomyosarcoma of the IVC and thrombosis. Case presentation A 44-year-old female presented with fulminant liver failure secondary to inferior vena cava...
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| Format: | Article |
| Language: | English |
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BMC
2024-11-01
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| Series: | Cardio-Oncology |
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| Online Access: | https://doi.org/10.1186/s40959-024-00287-1 |
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| author | Maciej Wiewiora Hanna Wiewiora Ewa Chmielik Michal Jarzab Michael Grynkiewicz Marcin Kubeczko |
| author_facet | Maciej Wiewiora Hanna Wiewiora Ewa Chmielik Michal Jarzab Michael Grynkiewicz Marcin Kubeczko |
| author_sort | Maciej Wiewiora |
| collection | DOAJ |
| description | Abstract Background Budd–Chiari syndrome is a rare and severe vascular liver disease. We presented patient with fulminant liver failure secondary to leiomyosarcoma of the IVC and thrombosis. Case presentation A 44-year-old female presented with fulminant liver failure secondary to inferior vena cava (IVC) thrombosis. Contrast-enhanced computed tomography subsequently revealed a thrombus within the IVC, extending cranially to the right atrium and caudally to the renal veins. The patient’s condition, characterized by early comatose symptoms, necessitated surgical intervention. Under extracorporeal circulation, a right atriotomy with thrombus lesion removal and descending thrombectomy of the IVC was performed. Hepatic congestion resolved after the thrombus was removed. A pathological examination of the excised thrombus revealed the presence of high-grade leiomyosarcoma. Conclusions In cases where a thrombus extends from the IVC to the right atrium, urgent surgical intervention with extracorporeal circulation should be considered. |
| format | Article |
| id | doaj-art-19b91d0bc1d5468c9767b519a3142837 |
| institution | Kabale University |
| issn | 2057-3804 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardio-Oncology |
| spelling | doaj-art-19b91d0bc1d5468c9767b519a31428372024-12-01T12:47:10ZengBMCCardio-Oncology2057-38042024-11-011011410.1186/s40959-024-00287-1Sternotomy and extracorporal circulation for fulminant Budd-Chiari syndrome due to leiomyosarcoma of the inferior vena cavaMaciej Wiewiora0Hanna Wiewiora1Ewa Chmielik2Michal Jarzab3Michael Grynkiewicz4Marcin Kubeczko5Department of Cardiac Vascular and Endovascular Surgery and Transplantology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in KatowiceStudent Scientific Society, Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, Faculty of Medical Sciences in ZabrzeTumor Pathology Department, Maria Sklodowska-Curie National Research Institute of OncologyBreast Cancer Center, Maria Sklodowska-Curie National Research Institute of OncologyStudent Scientific Society, Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, Faculty of Medical Sciences in ZabrzeBreast Cancer Center, Maria Sklodowska-Curie National Research Institute of OncologyAbstract Background Budd–Chiari syndrome is a rare and severe vascular liver disease. We presented patient with fulminant liver failure secondary to leiomyosarcoma of the IVC and thrombosis. Case presentation A 44-year-old female presented with fulminant liver failure secondary to inferior vena cava (IVC) thrombosis. Contrast-enhanced computed tomography subsequently revealed a thrombus within the IVC, extending cranially to the right atrium and caudally to the renal veins. The patient’s condition, characterized by early comatose symptoms, necessitated surgical intervention. Under extracorporeal circulation, a right atriotomy with thrombus lesion removal and descending thrombectomy of the IVC was performed. Hepatic congestion resolved after the thrombus was removed. A pathological examination of the excised thrombus revealed the presence of high-grade leiomyosarcoma. Conclusions In cases where a thrombus extends from the IVC to the right atrium, urgent surgical intervention with extracorporeal circulation should be considered.https://doi.org/10.1186/s40959-024-00287-1Budd–Chiari syndromeThrombosisLeiomyosarcoma of the inferior vena cava |
| spellingShingle | Maciej Wiewiora Hanna Wiewiora Ewa Chmielik Michal Jarzab Michael Grynkiewicz Marcin Kubeczko Sternotomy and extracorporal circulation for fulminant Budd-Chiari syndrome due to leiomyosarcoma of the inferior vena cava Cardio-Oncology Budd–Chiari syndrome Thrombosis Leiomyosarcoma of the inferior vena cava |
| title | Sternotomy and extracorporal circulation for fulminant Budd-Chiari syndrome due to leiomyosarcoma of the inferior vena cava |
| title_full | Sternotomy and extracorporal circulation for fulminant Budd-Chiari syndrome due to leiomyosarcoma of the inferior vena cava |
| title_fullStr | Sternotomy and extracorporal circulation for fulminant Budd-Chiari syndrome due to leiomyosarcoma of the inferior vena cava |
| title_full_unstemmed | Sternotomy and extracorporal circulation for fulminant Budd-Chiari syndrome due to leiomyosarcoma of the inferior vena cava |
| title_short | Sternotomy and extracorporal circulation for fulminant Budd-Chiari syndrome due to leiomyosarcoma of the inferior vena cava |
| title_sort | sternotomy and extracorporal circulation for fulminant budd chiari syndrome due to leiomyosarcoma of the inferior vena cava |
| topic | Budd–Chiari syndrome Thrombosis Leiomyosarcoma of the inferior vena cava |
| url | https://doi.org/10.1186/s40959-024-00287-1 |
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