Fig. 2. A 49-year-old male patient with polycythemia vera presenting with ascites. Model for end-stage liver disease (MELD) score of 13 and Rotterdam score of 1.14 (Class 2). Short segment tight stenosis involving left hepatic vein ostium (arrow; A). Right hepatic vein and middle hepatic vein were occluded. Inferior venecava was patent. Through transhepatic approach stenosis crossed (arrow; B) and 8 mm × 37 mm balloon expandable stent deployed across the stenotic segment (arrow; C). Post-stenting angiogram shows the free flow of contrast across the stent (arrow; D).
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