[Possibilities of using the internal jugular vein as an autovenous transplant in surgical treatment of portal hypertension].
As an autovenous graft in surgical treatment of portal hypertension the authors suggest to use the one obtained by means of resection of one of internal jugular veins. Based on studies of the literature data and personal experiments with 500 anatomical preparations of the skull and 49 fresh cadavers, the authors substantiate physiological permissibility of resection of one of internal jugular veins in the absence of marked asymmetry of internal jugular foramena of the cranial base, that is a criterion of symmetric venous outflow from the cranial cavity and of the possibility of its redistribution. The mentioned operative technic was employed by the authors clinically in one patient with a extrahepatic form of portal hypertension, subjected previously to splenectomy. The result of this intervention after a year and a half was estimated as being quite favourable.
D000328:Adult; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D007601:Jugular Veins / Q000601:surgery / Q000637:transplantation*; D008722:Methods; D014182:Transplantation, Autologous
Vozmozhnosti ispol'zovaniia vnutrenneĭ iaremnoĭ veny v kachestve autovenoznogo transplantata v khirurgicheskom lechenii portal'noĭ gipertenzii