A surgical technique for the treatment of Budd-Chiari syndrome associated with vena caval obstruction has been devised. The occluded hepatic vena cava and hepatic veins were reconstructed by open endvenectomy, using an autologous pericardial patch graft and a femorofemoral bypass technique. The hepatic artery and portal vein were not controlled with vascular clamps during the surgery. Between 1979 and 1994, 29 patients were treated using this technique and achieved good results. All the patients did well with good function of the reconstructed vena cava and of the hepatic veins, and showed acceptable reduction of symptoms caused by portal hypertension and caval stagnation.
SenningA. The cardiovascular surgeon and the liver. J Thorac Cardiovasc Surg1987; 93: 1–10.
2.
VictorS, JayanthiJ, KandasamyI, RatnasahapathyA, Madana-gopalanN. Retrohepatic cavoatrial bypass for coarctation of inferior vena cava with a polytetrafluoroethylene graft. J Thorac Cardiovasc Surg1986; 91: 99–105.
3.
WangZ, ZhuY, WangSRecognition and management of Budd-Chiari syndrome: report of one hundred cases. J Vasc Surg1989; 10: 149–56.
4.
JamiesonNV, WilliamsR, CalneRY. Liver transplantation for Budd-Chiari syndrome, 1976-1990. Ann Chir1991; 45: 362–5.
5.
ManabeH, OkamotoE, KawashimaY, KanohM. A radical operation by liver reflexion for Budd-Chiari syndrome. J Jpn Surg Soc1972; 73: 1030–2 (in Japanese).
6.
NakaoK, AdachiS, KawashimaY, OkamotoE, ManabeH. A radical operation for the Budd-Chiari syndrome associated with obstruction of the inferior vena cava. A report of six patients. J Cardiovasc Surg (Torino)1984; 25: 216–21.
7.
HendersonJM, WarrenWD, MillikanWJSurgical options, hematologic evaluation, and pathologic changes in Budd-Chiari syndrome. Am J Surg1990; 159: 41–50.
8.
CameronJL, HerlongHF, SanfeyHThe Budd-Chiari syndrome. Treatment by mesenteric-systemic venous shunts. Ann Surg1983; 198: 335–46.
9.
AhnSS, GoldsteinLI, BusuttilRW. Simultaneous retrohepatic inferior vena cavoplasty and side-to-side portacaval shunt for recurrent thrombosed mesoatrial shunt in the Budd-Chiari syndrome. Surgery1987; 101: 165–71.
10.
HuguetC, DeliereT, OlivierJM, LevyVG. Budd-Chiari syndrome with thrombosis of the inferior vena cava: long-term patency of meso-caval and cavoatrial prosthetic bypass. Surgery1984; 95: 108–11.
11.
OrloffMJ, GirardB. Long term results of treatment of Budd-Chiari syndrome by side to side portocavalshunt. Surg Gynecol Obstet1989; 168: 33–41.
12.
ChengTO. Current management of the Budd-Chiari syndrome. Ann Surg1991; 213: 371–2.
13.
HirookaM, KimuraC. Membranous obstruction of the hepatic portion of the inferior vena cava. Arch Surg1970; 100: 656–63.
14.
MurphyFB, SteinbergHV, ShiresGTIII, MartinLG, BernardinoME. The Budd-Chiari syndrome: a review. Am J Roentgenol1986; 147: 9–15.
15.
SparanoJ, ChangJ, TrasiS, BonannoC. Treatment of the Budd-Chiari syndrome with percutaneous transluminal angioplasty: case report and review of the literature. Am J Med1987; 82: 821–8.
16.
PasicM, SenningA, von SegesserL, CarrelT, TurinaM. Transcaval liver resection with hepatoatrial anastomosis for treatment of patients with the Budd-Chiari syndrome. J Thorac Cardiovasc Surg1993; 106: 275–82.
17.
MurphyJP, GregoriI, CooleyDA. Budd-Chiari syndrome resulting from membranous web of the inferior vena cava: operative repair using profound hypothermia and circulatory arrest. Ann Thorac Surg1987; 43: 212–14.
18.
DaleWA, HarrisJ, TerryRB. Polytetrafluoroethylene reconstruction of the inferior vena cava. Surgery1984; 95: 625–30.
19.
GloviczkiP, HollierLH, DewanjeeMK, TrastekVF, HoffmanEA, KayeMP. Experimental replacement of the inferior vena cava: factors affecting patency. Surgery1984; 95: 657–66.
20.
NakamuraT, NakamuraS, AikawaTObstruction of the inferior vena cava in the hepatic portion and hepatic veins. Report of eight cases and review of the Japanese literature. Angiology1968; 19: 478–98.
21.
SimsonIW. Membranous obstruction of the inferior vena cava and hepatocellular carcinoma in South Africa. Gastroenterology1982; 82: 171–8.
22.
OkamotoE, SuzukiF, KumataK, ShimizuY, ToyosakaA, FujiwaraS. Simultaneous radical surgical treatment for membranous obstruction of the inferior vena cava and the coincident hepatocellular carcinoma. The first successful case. Jpn J Surg1983; 13: 135–40.
