title: Budd-Chiari syndrome: portacaval shunt and subsequent liver transplantation.
abstract: The Budd-Chiari syndrome (BCS) is caused by hepatic venous outflow obstruction, which often leads to death as a result of portal hypertension and liver failure. Therapeutic approaches vary widely from conventional medical therapy to liver transplantation. If and when a patient suffering with BCS needs surgery remains a matter of contention. However, it is well accepted that portacaval shunt surgery and orthotopic liver transplantation represent efficient surgical treatments of this condition. We report on a patient with an eventful course after BCS was diagnosed. After portacaval shunt surgery the patient had acute liver failure and had a successful orthotopic liver transplantation.
authors.affiliation: Department of Surgery, Hannover Medical School, Federal Republic of Germany.
authors.forename: K J
authors.initials: KJ
authors.lastname: Oldhafer
authors.forename: B
authors.initials: B
authors.lastname: Ringe
authors.forename: C
authors.initials: C
authors.lastname: Wittekind
authors.forename: R
authors.initials: R
authors.lastname: Pichlmayr
mesh_terms: D000328:Adult; D006502:Budd-Chiari Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000209:etiology / Q000601:surgery; D016031:Liver Transplantation; D011167:Portacaval Shunt, Surgical; D011183:Postoperative Complications; D011859:Radiography; D014684:Venae Cavae / Q000000981:diagnostic imaging