Suprahepatic inferior vena cava stent placement for anastomotic stenosis

A 61-year-old female with previous liver transplantation was volume overloaded, requiring intubation and veno-venous extracorporeal membrane oxygenation. Workup was significant for mitral valve stenosis, for which she underwent repair. This was complicated by injury to the inferior vena cava with av...

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Main Authors: Zaid Nawaz, DO, Nicholas Gilbert, MD, Brendan Gontarz, MD, Edward T. Gifford, MD, Thomas Divinagracia, MD, Owen Glotzer, MD
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428725001261
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author Zaid Nawaz, DO
Nicholas Gilbert, MD
Brendan Gontarz, MD
Edward T. Gifford, MD
Thomas Divinagracia, MD
Owen Glotzer, MD
author_facet Zaid Nawaz, DO
Nicholas Gilbert, MD
Brendan Gontarz, MD
Edward T. Gifford, MD
Thomas Divinagracia, MD
Owen Glotzer, MD
author_sort Zaid Nawaz, DO
collection DOAJ
description A 61-year-old female with previous liver transplantation was volume overloaded, requiring intubation and veno-venous extracorporeal membrane oxygenation. Workup was significant for mitral valve stenosis, for which she underwent repair. This was complicated by injury to the inferior vena cava with avulsion from the liver, which was reconstructed with bovine pericardium. Postoperatively, hemodynamic monitoring suggested poor venous return. She was taken for a venogram, demonstrating stenosis of the suprahepatic inferior vena cava, which was treated with placement of a bare metal self-expanding stent. This case report demonstrates an endovascular salvage technique for suprahepatic inferior vena cava stenosis after reconstruction during cardiac surgery.
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publishDate 2025-08-01
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series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-bce85feedbb342d485d8d589a305d8802025-08-20T03:56:42ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410184410.1016/j.jvscit.2025.101844Suprahepatic inferior vena cava stent placement for anastomotic stenosisZaid Nawaz, DO0Nicholas Gilbert, MD1Brendan Gontarz, MD2Edward T. Gifford, MD3Thomas Divinagracia, MD4Owen Glotzer, MD5Department of Surgery, Howard University Hospital, Washington, DC; Correspondence: Zaid Nawaz, DO, Department of Surgery, Howard University Hospital, 2041 Georgia Ave, Washington, DC 20060Division of Vascular Surgery, Hartford Hospital, Hartford, CTDivision of Vascular Surgery, Hartford Hospital, Hartford, CTDivision of Vascular Surgery, Hartford Hospital, Hartford, CTDivision of Vascular Surgery, Hartford Hospital, Hartford, CTDivision of Vascular Surgery, Hartford Hospital, Hartford, CTA 61-year-old female with previous liver transplantation was volume overloaded, requiring intubation and veno-venous extracorporeal membrane oxygenation. Workup was significant for mitral valve stenosis, for which she underwent repair. This was complicated by injury to the inferior vena cava with avulsion from the liver, which was reconstructed with bovine pericardium. Postoperatively, hemodynamic monitoring suggested poor venous return. She was taken for a venogram, demonstrating stenosis of the suprahepatic inferior vena cava, which was treated with placement of a bare metal self-expanding stent. This case report demonstrates an endovascular salvage technique for suprahepatic inferior vena cava stenosis after reconstruction during cardiac surgery.http://www.sciencedirect.com/science/article/pii/S2468428725001261Anastomotic stenosisInferior vena cava avulsion from right atriumInferior vena cava stenosisInferior vena cava stentingSuprahepatic inferior vena cava
spellingShingle Zaid Nawaz, DO
Nicholas Gilbert, MD
Brendan Gontarz, MD
Edward T. Gifford, MD
Thomas Divinagracia, MD
Owen Glotzer, MD
Suprahepatic inferior vena cava stent placement for anastomotic stenosis
Journal of Vascular Surgery Cases and Innovative Techniques
Anastomotic stenosis
Inferior vena cava avulsion from right atrium
Inferior vena cava stenosis
Inferior vena cava stenting
Suprahepatic inferior vena cava
title Suprahepatic inferior vena cava stent placement for anastomotic stenosis
title_full Suprahepatic inferior vena cava stent placement for anastomotic stenosis
title_fullStr Suprahepatic inferior vena cava stent placement for anastomotic stenosis
title_full_unstemmed Suprahepatic inferior vena cava stent placement for anastomotic stenosis
title_short Suprahepatic inferior vena cava stent placement for anastomotic stenosis
title_sort suprahepatic inferior vena cava stent placement for anastomotic stenosis
topic Anastomotic stenosis
Inferior vena cava avulsion from right atrium
Inferior vena cava stenosis
Inferior vena cava stenting
Suprahepatic inferior vena cava
url http://www.sciencedirect.com/science/article/pii/S2468428725001261
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