title: Retrohepatic cavoatrial shunt with a ringed polytetrafluoroethylene graft for the Budd-Chiari syndrome. A case report.
abstract: 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.
authors.affiliation: Second Department of Surgery, Kagoshima University, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Tanaka
authors.forename: H
authors.initials: H
authors.lastname: Toyohira
authors.forename: R
authors.initials: R
authors.lastname: Murata
authors.forename: H
authors.initials: H
authors.lastname: Shibuya
authors.forename: S
authors.initials: S
authors.lastname: Shimokawa
authors.forename: N
authors.initials: N
authors.lastname: Hamada
authors.forename: A
authors.initials: A
authors.lastname: Taira
mesh_terms: 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*
chemical_list: D011138:Polytetrafluoroethylene