Experience with alternate sources of venous inflow in the meso-Rex bypass operation: the coronary and splenic veins.
The meso-Rex bypass procedure has been used to treat patients with portal hypertension from extrahepatic portal vein obstruction. This report describes modifications of this procedure in 5 patients. Either the splenic or coronary vein was used as the venous inflow point, and the bypass was performed either directly through transposition of the vein or with the use of a venous conduit.
Chiu
Bill
B
Department of Surgery, Children's Memorial Hospital, Northwestern University, Chicago, IL 60614, USA.
Pillai
Srikumar B
SB
Sandler
Anthony D
AD
Superina
Riccardo A
RA
D000293:Adolescent; D002648:Child; D003331:Coronary Vessels / Q000601:surgery*; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery*; D007601:Jugular Veins / Q000637:transplantation; D008279:Magnetic Resonance Imaging; D008297:Male; D011169:Portal Vein / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation; D013162:Splenic Vein / Q000601:surgery*