Victor S, Jayanthi V, Vallal T T, Madanagopalan N
Department of Cardiothoracic Surgery, Government General Hospital, Madras.
Indian J Gastroenterol. 1992 Apr;11(2):89.
A woman aged 28 years with situs inversus totalis presented with chronic Budd-Chiari syndrome with symptoms of 3 years' duration. The left sided inferior vena cava was occluded below the diaphragm above a patent morphologic right hepatic vein. A dorsal cavoatrial bypass was attempted but abandoned due to bleeding from extensive collaterals. The occurrence of coarctation of the inferior vena cava in situs inversus totalis lends support to the view that it is a congenital condition and occurs due to disturbance in fusion of the hepatic segment of the inferior vena cava and the hepatocardiac channel.
一名28岁的完全性内脏反位女性患有慢性布-加综合征，症状持续3年。左侧下腔静脉在膈肌下方、形态正常的右肝静脉上方闭塞。尝试进行背侧腔房分流术，但因广泛侧支血管出血而放弃。完全性内脏反位患者出现下腔静脉缩窄支持了这一观点，即它是一种先天性疾病，是由于下腔静脉肝段与肝心通道融合紊乱所致。
