The following findings were recorded: (1) tributaries of the middle
hepatic veins (MHV) including segments V and VIII veins; (2) the presence of accessory inferior right
hepatic vein (IRHV) or superficial right
hepatic vein (SRHV); (3) the variable entering patterns of the RHV, MHV, and IRHV into IVC, and (4) the diameter of the veins at their point of connection to the major veins.
(2,7) Full liver transplants require evaluation at the site of anastomosis as well as individual interrogation of the right, middle, and left
hepatic veins. Normal hepatic venous waveforms demonstrate a triphasic pattern reflecting the various phases of the cardiac cycle.
Computed tomography (CT) demonstrated a conglomerate of dilated vessels in the region of the porta hepatis with an intrahepatic portosystemic venous shunt, also known as a portal hepatic venous shunt, between the right portal vein and the middle
hepatic vein (Figs 1a and 1b).
Parenchymal transection is continued posteriorly until the major
hepatic veins are identified, sutured and divided.
(12) Occlusion of the hepatic portion of the IVC, major
hepatic vein, or both can lead to BCS, and the prevalence of BCS in BD is 3.2%.
[8] The CUSA is particularly useful in major hepatic resections when dissection of the major branches of the
hepatic veins is required or in cases where the tumour is in close proximity to major
hepatic veins.
Subtotal hepatectomy: A new procedure based on the inferior right
hepatic vein. Br J Surg 1991;78(10):1221-1222.
We've measured lumen diameters of portal vein in it's broad segment, vena lienalis,
hepatic veins 2-3 cm above the place of their confluence in the vena cava inferior.
Doppler waveforms of
hepatic veins in children with diffuse fatty infiltration of the liver.
Budd Chiari syndrome (BCS) is a rare disorder that results from hepatic venous outflow tract obstruction, occurring anywhere from the small
hepatic veins to the suprahepatic inferior vena cava.
The majority of venous drainage is by three
hepatic veins which join the vena cava.
A 32-mm compliant CODA balloon catheter (Cook Medical, Bloomington, IN) was advanced to the tip of the guidewire and an inflated, occluding the IVC and
hepatic veins. After a few minutes of trial inflation, the patient remained hemodynamically stable with a norepinephrine infusion that had been titrated up to 8 [mu]g/min and the surgical team continued with the tumour thrombectomy.