Retrohepatic cavoatrial shunt with a ringed polytetrafluoroethylene graft for the Budd-Chiari syndrome. A case report.
This report describes a patient with Budd-Chiari syndrome who was operated on successfully 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.
Tanaka
K
K
Second Department of Surgery, Kagoshima University, Japan.
Toyohira
H
H
Murata
R
R
Shibuya
H
H
Shimokawa
S
S
Hamada
N
N
Taira
A
A
D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D006502:Budd-Chiari Syndrome / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D014682:Vena Cava, Inferior / Q000601:surgery*
D011138:Polytetrafluoroethylene