Huguet C, Benhamida F, Lévy V G
Nouv Presse Med. 1975 May 17;4(20):1481-4.
Five meso-caval shunts with the use of dacron prostheses are reported in the adult. Any other type of portocaval decompression was impossible in 2 cases (splenoportal thrombosis) but this procedure was elected in 3 cases (2 Budd Chiari syndromes, 1 cirrhosis with perihepatitis). This operation proved to be technically simple and satisfactory. A cirrhotic patient died 5 days later, because of acute hepatic necrosis, the four others cases being followed by a smooth postoperative course with a favorable effect on hemorrhage and/or ascites. Thrombosis of the graft was not observed (3 angiographic controls, 2 clinically obvious patencies). The follow-up is too short (maximum one year) to extend the indications of this appealing technical procedure.
本文报道了5例在成人中使用涤纶人工血管进行的肠系膜上静脉-腔静脉分流术。2例患者（脾门静脉血栓形成）无法进行其他类型的门腔静脉减压术，但有3例患者（2例布加综合征，1例肝硬化合并肝周炎）选择了该手术。该手术在技术上被证明是简单且令人满意的。1例肝硬化患者术后5天因急性肝坏死死亡，其他4例患者术后恢复顺利，对出血和/或腹水有良好效果。未观察到移植血管血栓形成（3次血管造影检查，2例临床显示通畅）。随访时间过短（最长1年），无法扩大这种有吸引力的技术操作的适应证。
