Cavoatrial shunt: a graft salvage procedure for suprahepatic caval anastomosis obstruction after liver transplantation.
A liver transplant recipient developed the Budd-Chiari syndrome because of an obstruction of the suprahepatic inferior vena cava anastomosis. Percutaneous balloon dilatation angioplasty was not feasible. On exploration, dense retrohepatic fibrotic reaction was observed. The patient underwent successful retrohepatic cavoatrial shunt placement by means of a 16-mm, ring-enforced polytetrafluoroethylene graft. We conclude that this shunt should be considered an additional graft salvage procedure for this complication.
Eid
A
A
Department of Surgery and Transplantation, Hadassah University Hospital, Jerusalem, Israel.
Rahamimov
R
R
Ilan
Y
Y
Tur-Kaspa
R
R
Berlatzky
Y
Y
D001166:Arteriovenous Shunt, Surgical; D019917:Blood Vessel Prosthesis Implantation; D006502:Budd-Chiari Syndrome / Q000209:etiology / Q000601:surgery*; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006509:Hepatitis B / Q000150:complications; D006801:Humans; D008103:Liver Cirrhosis / Q000209:etiology / Q000601:surgery; D016031:Liver Transplantation; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000601:surgery*; D013927:Thrombosis / Q000209:etiology / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery*
D011138:Polytetrafluoroethylene