Dr. H.K. Bali - Cardiologist, Chandigarh

Dr. H.K. Bali

Director Cardioloy, Fortis Mohali

Areas of Expertise: Angioplasty, Coronary Intervention

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Hepatic-pericardio-phrenic collateral (natural shunt) in a patient with Budd-Chiari syndrome

Hepatic venous outflow tract obstruction, Budd-Chiari syndrome (BCS), leads to portal hypertension and to the development of collaterals that bypass the obstruction. Described here is a BCS patient with an unusually large transdiaphragmatic collateral between the left hepatic and left innominate veins, which decompressed the oesophageal varices. This has not been reported earlier in the literature.

J.B. Dilawari, N. Nagpal, Y.K. Chawla, U. Kaur, J. Verma, H. Bali, K.M. Das and S. Suri: Hepatic-pericardial-phrenic collateral (natural shunt) in a patient with Budd-Chiari syndrome; Journal of Gastroenterology and Hapatology (1993) 8, 202-205.