Sage Journals: Discover world-class research

Abstract

This report describes a patient with Budd-Chiari syndrome who was operated on success fully by means of shunt formation with polytetrafluoroethylene graft between the inferior vena cava (IVC) and right atrium. The patient is a sixty-two-year-old woman suffering from persistent edema of the lower limbs for four years. The examination disclosed complete obstruction of the IVC at the level of the diaphragm with a patent right inferior hepatic vein. Following the operation, edema of the limbs disappeared, hypersplenism improved, and the serum ammonium concentration decreased to the normal range. In conclusion, a retrohepatic cavoatrial shunt is feasible and useful in treating a patient with the Budd-Chiari syndrome who has patent major hepatic veins.

Get full access to this article

View all access options for this article.

References

Guerin JM , Meyer P. : Need for early thrombolysis in Budd-Chiari syndrome Gastroenterology 94:1109, 1988.

Sparano J. , Chang J. , Trasi S., et al : Treatment of the Budd-Chiari syndrome with percutaneous transluminal angioplasty. Case report and review of the literature. Am J Med 82:821-828, 1987.

Kimura C. , Matsuda S. , Koie H., et al : Membranous obstruction of the hepatic portion of the inferior vena cava: Clinical study of nine cases Surgery 72:551-559, 1972.

Akita H. , Sakoda K. : Portopulmonary shunt by splenopneumopexy as a surgical treatment of Budd-Chiari syndrome Surgery 87:85-94, 1980.

Nakao K. , Adachi S. , Kawashima Y., et al : A radical operation for the Budd-Chiari syndrome associated with obstruction of the inferior vena cava: A report of six patients J Cardiovasc Surg 25:216-221, 1984.

McCarthy PM , van Heerden JA , Adson MA, et al : The Budd-Chiari syndrome: Medical and surgical management of 30 patients Arch Surg 120:657-662, 1985.

Vons C. , Bourstyn E. , Bonnet P., et al : Results of portal systemic shunts in Budd-Chiari syndrome Ann Surg 203:366-370, 1986.

Orloff MJ , Girard B. : Long-term results of treatment of Budd-Chiari syndrome by-side-to side portacaval shunt Surg Gynecol Obstet 168:33-41, 1989.

Victor S. , Jayanthi V. , Kandasamy I., et al : Retrohepatic cavoatrial bypass for coarctation of inferior vena cava with a polytetrafluoroethylene graft J Thorac Cardiovasc Surg 91:99-105, 1986.

10.

Klein AS , Sitzmann JV , Coleman J., et al : Current management of the Budd-Chiari syndrome Ann Surg 212:144-149, 1990.

11.

Orloff MJ , Daily PO , Girard B. : Treatment of Budd-Chiari syndrome due to inferior vena cava occlusion by combined portal and vena caval decompression. Am J Surg 163:137-143, 1992.

12.

Campbell DA , Rolles K. , Jamieson N., et al : Hepatic transplantation with perioperative and long-term anticoagulation as treatment for Budd-Chiari syndrome. Surg Gynecol Obstet 166:511-518, 1988.

13.

Henderson JM , Warren WD , Millikan WJ, et al : Surgical options, hematologic evaluation, and pathologic changes in Budd-Chiari syndrome. Am J Surg 159:41-50, 1990.

Retrohepatic Cavoatrial Shunt with a Ringed Polytetrafluoroethylene Graft for the Budd-Chiari Syndrome

Abstract

Get full access to this article

References