title: Mesocavoatrial shunt for Budd-Chiari syndrome: a case report with long-term follow-up.
abstract: BACKGROUND
  A case of mesocavoatrial shunting for the treatment of Budd-Chiari syndrome (BCS) with long-term follow-up is reported.
  
  
  METHODS
  A 25-year-old man with stage II BCS was treated with a mesocavoatrial shunt to decompress the portal and IVC hypertension. During the 6-year follow-up, the patient was able to resume work as a salesperson and has since led a normal life. His graft remains patent.
  
  
  CONCLUSIONS
  A mesocavoatrial shunt can simultaneously decompress portal and IVC hypertension and has satisfactory long-term patency. A mesocavoatrial shunt can be used to treat patients with severe BCS who could not be successfully treated with medical therapy and intervention.
authors.affiliation: Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.
authors.forename: Cheng Chao
authors.initials: CC
authors.lastname: Zhang
authors.forename: Zhong Gao
authors.initials: ZG
authors.lastname: Wang
authors.forename: Chun Min
authors.initials: CM
authors.lastname: Li
authors.forename: Hong Yong
authors.initials: HY
authors.lastname: Duan
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: Li Xing
authors.initials: LX
authors.lastname: Qi
authors.forename: Bing
authors.initials: B
authors.lastname: Chen
authors.forename: Zhen
authors.initials: Z
authors.lastname: Li
authors.forename: Ce
authors.initials: C
authors.lastname: Bian
mesh_terms: D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D019299:Decompression, Surgical; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D010690:Phlebography / Q000379:methods; D017082:Portal Pressure; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012720:Severity of Illness Index; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*