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Post liver transplant one year earlier with cholestasis, hepatomegaly, biopsy suggests chronic rejection and clinical suspicion of chronic venous outflow insufficiency. (A) Transhepatic venography showed tight stenosis between left hepatic vein and IVC, (B) After passing a guidewire and dilatation using a 6 mm x 4 cm balloon with loss of balloon waist, (C) Final venography, (D) Loss of stricture with drop of pressure gradient less than 3 mm Hg, finally coil embolization.

Post liver transplant one year earlier with cholestasis, hepatomegaly, biopsy suggests chronic rejection and clinical suspicion of chronic venous outflow insufficiency. (A) Transhepatic venography showed tight stenosis between left hepatic vein and IVC, (B) After passing a guidewire and dilatation using a 6 mm x 4 cm balloon with loss of balloon waist, (C) Final venography, (D) Loss of stricture with drop of pressure gradient less than 3 mm Hg, finally coil embolization.

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Background: Venous ischemia in a closed compartment results in congestion, impeded blood supply, cell death and a cascade of events that involves immune system to remove cellular debris. Aim of the Work: To report our experience with chronic hepatic venous ischemia post liver transplant. Methods: We describe 3 girls and 4 boys with chronic hepatic...

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