Successful Angioplasty of a Hepatic Vena Caval Branch in a Patient with Budd-Chiari Syndrome Due to Occlusion of the Three Major Hepatic Veins

In this case of a Japanese woman with Budd-Chiari syndrome, percutaneous venoplasty of a single narrow accessory hepatic vein successfully restored normal hepatic circulation. The three major hepatic veins were occluded, whereas the inferior vena cava was patent. In this setting, percutaneous venoplasty of the single remaining hepatic vena caval branch was considered clinically effective.