Two stage surgical management of the Budd-Chiari syndrome associated with obstruction of the inferior vena cava.
A new, staged surgical approach to the treatment of Budd-Chiari syndrome complicated by inferior vena caval obstruction has been described. The first stage consists of a mesoatrial shunt. After an interval to allow hepatic decongestion, re-establishment of caval flow and overall improvement in the status of the patient, a portacaval shunt is established and the mesoatrial shunt removed. Such a staged procedure produced an excellent result in the patient reported upon in this study and represents a treatment option in similar patients with Budd-Chiari syndrome complicated by obstruction of the inferior vena cava.
D000328:Adult; D001783:Blood Flow Velocity; D001794:Blood Pressure; D001807:Blood Vessel Prosthesis; D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D003251:Constriction, Pathologic; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007601:Jugular Veins / Q000637:transplantation; D008099:Liver / Q000098:blood supply* / Q000473:pathology; D008638:Mesenteric Arteries / Q000601:surgery; D010690:Phlebography; D011138:Polytetrafluoroethylene; D011167:Portacaval Shunt, Surgical; D012086:Reoperation; D014682:Vena Cava, Inferior / Q000473:pathology*
D011138:Polytetrafluoroethylene