title: Treatment of Budd-Chiari syndrome with inferior vena caval occlusion by mesoatrial shunt.
abstract: OBJECTIVE
  To report the effectiveness of a mesoatrial shunt in the treatment of Budd-Chiari syndrome caused by combined hepatic vein and inferior vena caval block.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Tertiary care hospital, India.
  
  
  METHODS
  10 patients (4 men and 6 women; mean age 28, range 18-45) who had operations for Budd-Chiari syndrome between 1994 and 2000.
  
  
  METHODS
  Mesoatrial shunt.
  
  
  METHODS
  Graft patency, survival, liver function and symptoms.
  
  
  RESULTS
  One patient died. All grafts were patent over a mean follow up period of 40 months (range 6-71). All survivors have normal liver function and were symptom free at the time of writing.
  
  
  CONCLUSIONS
  Mesoatrial shunt is effective in the treatment of Budd-Chiari syndrome caused by combined hepatic vein and vena caval occlusion.
authors.affiliation: First Unit of Department of General Surgery, Nehru Hospital, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Arunanshu
authors.initials: A
authors.lastname: Behera
authors.forename: Somasekhar R
authors.initials: SR
authors.lastname: Menakuru
authors.forename: Shyam
authors.initials: S
authors.lastname: Thingnam
authors.forename: Lileswar
authors.initials: L
authors.lastname: Kaman
authors.forename: Deepak K
authors.initials: DK
authors.lastname: Bhasin
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kochher
authors.forename: Radhakrishan
authors.initials: R
authors.lastname: Dhiman
authors.forename: Kartar
authors.initials: K
authors.lastname: Singh
mesh_terms: D000293:Adolescent; D000328:Adult; D000465:Algorithms; D000714:Anastomosis, Surgical; D019917:Blood Vessel Prosthesis Implantation; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008642:Mesenteric Veins / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies; D014682:Vena Cava, Inferior; D014689:Venous Insufficiency / Q000209:etiology