Treatment of Budd-Chiari syndrome with inferior vena caval occlusion by mesoatrial shunt.
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.
Behera
Arunanshu
A
First Unit of Department of General Surgery, Nehru Hospital, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Menakuru
Somasekhar R
SR
Thingnam
Shyam
S
Kaman
Lileswar
L
Bhasin
Deepak K
DK
Kochher
Rakesh
R
Dhiman
Radhakrishan
R
Singh
Kartar
K
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