Hepatoatrial anastomosis and tricuspid valve replacement in Budd-Chiari syndrome 8.
The rare complication of tricuspid valve stenosis due to displacement of a peritoneovenous shunt catheter developed in a patient with Budd-Chiari syndrome. Surgical management included shunt removal and tricuspid valve replacement combined with hepatoatrial anastomosis. The tricuspid valve was replaced with a bioprosthesis, and liver resection opened the stenotic confluence of the hepatic veins. The right atrium was sutured to the liver capsule, thereby restoring physiologic hepatic venous blood flow.
Chiu
C K
CK
Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Nagorney
D M
DM
Schaff
H V
HV
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D006502:Budd-Chiari Syndrome / Q000601:surgery* / Q000628:therapy; D004868:Equipment Failure; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008099:Liver / Q000601:surgery*; D010536:Peritoneovenous Shunt / Q000009:adverse effects; D014261:Tricuspid Valve / Q000601:surgery*; D014264:Tricuspid Valve Stenosis / Q000209:etiology / Q000601:surgery*