Carrel T, Decurtins M, Laske A, Bauer E, von Segesser L, Largiadèr F, Turina M
Department of Surgery, University Hospital, Zürich, Switzerland.
Ann Thorac Surg. 1990 Oct;50(4):658-60. doi: 10.1016/0003-4975(90)90212-o.
We report the case of a young woman with Budd-Chiari syndrome in whom mesentericoval shunt was first performed, followed by transcaval liver resection and hepatoatrial anatomosis 3 years later. Liver transplantation became necessary 5 years later because of deterioarating liver function with portal hypertension and bleeding. Successful transplantation was performed with atrioatrial anastomosis with help of cardiopulmonary bypass, simplifying considerably the technical procedure and reducing dramatically blood loss.
我们报告了一例患有布加综合征的年轻女性病例，该患者首先接受了肠系膜上静脉分流术，3年后进行了经腔肝切除术和肝房吻合术。5年后，由于肝功能恶化伴门静脉高压和出血，有必要进行肝移植。在体外循环的帮助下，通过心房吻合术成功进行了移植，大大简化了技术操作并显著减少了失血量。
