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Vena Cava-Atrium Anastomosis Liver Transplantation on Patient with Budd-Chiari Syndrome Caused by a Tumor Thrombus in the Inferior Vena Cava: A Case Report

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Wenjin Liang, Anxiong Liu, Shaojun Ye, Bo Tang, Qifa Ye


Owing to the difficulty in removing hepatocellular carcinomas associated with extrahepatic metastases and the fact that they may further metastasize along the vessels, liver transplantation is not currently recommended for patients with these conditions. We report a case of Budd-Chiari syndrome (BCS) caused by hepatic carcinoma and tumor thrombus in the inferior vena cava (IVC). Backed by the strong desire of the patient to undergo liver transplantation, we decided to perform vena cava-atrium anastomosis liver transplantation (VCAALT) on the patient after a comprehensive evaluation of the patient’s condition. The patient recovered quickly and was discharged after 1 month of consolidation chemotherapy. BCS caused by an IVC tumor thrombus is a rare clinical case, and selecting an appropriate treatment is difficult. In this case, we successfully solved the clinical problem of BCS in a patient with hepatocellular carcinoma combined with an IVC cancer embolus using VCAALT.


Hepatic carcinoma, Inferior vena cava tumor thrombus, Budd-Chiari syndrome, Vena cava-atrium anastomosis liver transplantation

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