Open AccessExplanting the migrated hepatic stent in the right atrium by modified vena caval inflow occlusion
Author(s) -
Manoras Mathew Chengalath,
Thomas C. Mathew,
Lijesh Kumar,
Jose Chacko Periappuram,
Subramanian Chellappan,
Edwin Francis
Publication year - 2018
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-018-0718-z
Subject(s) - medicine , cardiac surgery , stent , occlusion , inferior vena cava , cardiothoracic surgery , vascular surgery , right atrium , surgery , cardiopulmonary bypass , balloon , circulatory system , budd–chiari syndrome , radiology , cardiology
Stenting of hepatic veins can be a long lasting solution for Budd-Chiari syndrome. These stents could very rarely migrate into the right atrium. During surgical retrieval, cardiopulmonary bypass (CPB) can be avoided if vena caval inflow occlusion (VCIO) is used. A hybrid alternative of VCIO by using a balloon to occlude the inferior vena cava was done to retrieve the stent thus avoiding CPB and total circulatory arrest.