title: Mesojugular shunt for Budd-Chiari syndrome: a case report with long-term follow-up.
abstract: BACKGROUND
  We report a case of a mesojugular shunt for Budd-Chiari syndrome (BCS) with long-term follow-up.
  
  
  METHODS
  A 32-year-old woman presented with late stage BCS. She was treated with a mesojugular shunt to relieve her portal hypertension. In a 17-year follow-up, she had a pregnancy, a postpartum period, and was diagnosed with systemic lupus eythematosus. She has resumed work as an operating room nurse and is having a normal life. Her graft remains patent.
  
  
  CONCLUSIONS
  A mesojugular shunt has less surgical trauma and satisfactory long-term patency than other shunts. It can be used to treat severe patients with BCS who are not candidates for intervention.
authors.affiliation: Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, P.R. China.
authors.forename: Hong Yong
authors.initials: HY
authors.lastname: Duan
authors.forename: Xin
authors.initials: X
authors.lastname: Wu
authors.forename: Zhong Gao
authors.initials: ZG
authors.lastname: Wang
authors.forename: Jian
authors.initials: J
authors.lastname: Zhang
authors.forename: Jian Xin
authors.initials: JX
authors.lastname: Li
authors.forename: Yong Quan
authors.initials: YQ
authors.lastname: Gu
authors.forename: Heng Xi
authors.initials: HX
authors.lastname: Yu
authors.forename: Bing
authors.initials: B
authors.lastname: Chen
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D019917:Blood Vessel Prosthesis Implantation; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000601:surgery; D007601:Jugular Veins / Q000601:surgery*; D050498:Live Birth; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis; D008642:Mesenteric Veins / Q000601:surgery*; D011247:Pregnancy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency