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Inferior vena cava obstruction: long-term results of endovascular management.下腔静脉阻塞：血管内治疗的长期结果
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2
Management of hepatic vascular diseases.肝脏血管疾病的管理。
J Hepatol. 2012;56 Suppl 1:S25-38. doi: 10.1016/S0168-8278(12)60004-X.
3
Budd-Chiari syndrome revisited: 38 years' experience with surgical portal decompression.再探布加综合征：38 年手术门脉减压经验。
J Gastrointest Surg. 2012 Feb;16(2):286-300; discussion 300. doi: 10.1007/s11605-011-1738-9. Epub 2011 Nov 8.
4
Budd-Chiari syndrome management: Lights and shadows.布加综合征的治疗：光明与阴影
World J Hepatol. 2011 Oct 27;3(10):262-4. doi: 10.4254/wjh.v3.i10.262.
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Superior mesenteric vein-caval-right atrium Y shunt for treatment of Budd-Chiari syndrome with obstruction to the inferior vena cava and the hepatic veins--a study of 62 patients.肠系膜上静脉-腔静脉-右心房 Y 型分流术治疗下腔静脉和肝静脉阻塞型布加综合征：62 例研究。
J Surg Res. 2011 Jul;169(1):e93-9. doi: 10.1016/j.jss.2011.02.030. Epub 2011 Mar 21.
6
Etiology, management, and outcome of the Budd-Chiari syndrome.布加综合征的病因、治疗及预后
Ann Intern Med. 2009 Aug 4;151(3):167-75. doi: 10.7326/0003-4819-151-3-200908040-00004.
7
TIPS for Budd-Chiari syndrome: long-term results and prognostics factors in 124 patients.布加综合征的治疗技巧：124例患者的长期结果及预后因素
Gastroenterology. 2008 Sep;135(3):808-15. doi: 10.1053/j.gastro.2008.05.051. Epub 2008 May 21.
8
Aiming at minimal invasiveness as a therapeutic strategy for Budd-Chiari syndrome.针对布加综合征的微创治疗策略。
Hepatology. 2006 Nov;44(5):1308-16. doi: 10.1002/hep.21354.
9
Liver transplantation for Budd-Chiari syndrome: A European study on 248 patients from 51 centres.布加综合征的肝移植：一项针对来自51个中心的248例患者的欧洲研究。
J Hepatol. 2006 Mar;44(3):520-8. doi: 10.1016/j.jhep.2005.12.002. Epub 2005 Dec 27.
10
Favourable medium term outcome following hepatic vein recanalisation and/or transjugular intrahepatic portosystemic shunt for Budd Chiari syndrome.布加综合征肝静脉再通和/或经颈静脉肝内门体分流术后的中期良好预后
Gut. 2006 Jun;55(6):878-84. doi: 10.1136/gut.2005.071423. Epub 2005 Sep 20.

用于因下腔静脉阻塞所致布加综合征的腔静脉同种异体移植物。

A caval homograft for Budd-Chiari syndrome due to inferior vena cava obstruction.

作者信息

Mancuso Andrea, Martinelli Luigi, De Carlis Luciano, Rampoldi Antonio Gaetano, Magenta Giovanni, Cannata Aldo, Belli Luca Saverio

机构信息

Andrea Mancuso, Luca Saverio Belli, Epatologia e Gastroenterologia, Ospedale Niguarda Cà Granda, Piazza Ospedale Maggiore 3, 20162 Milano, Italy.

出版信息

World J Hepatol. 2013 May 27;5(5):292-5. doi: 10.4254/wjh.v5.i5.292.

DOI:10.4254/wjh.v5.i5.292
PMID:23717741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3664288/
Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) is the standard treatment of Budd-Chiari syndrome (BCS) non responsive to medical therapy. However, patients with inferior vena cava (IVC) obstruction proximal to the atrium do not benefit from TIPS and a surgical approach is mandatory. We report the case of BCS due to intrapericardial IVC obstruction. We describe a novel surgical approach using a fresh caval homograft. An attempt to balloon dilatation of the IVC obstruction was complicated by right atrial disruption with tamponade and ventricular fibrillation. Lately, the patient successfully underwent a reconstruction of the cavo-atrial continuity by the interposition of a fresh caval homograft, a novel surgical approach never described before for BCS. Further follow-up revealed progressive reduction and resolution of ascites, and overall clinical improvement. IVC obstruction near to the atrium can be surgically approached with a new technique consisting in inferior vena cava resection and replacement with a caval homograft.

摘要

经颈静脉肝内门体分流术（TIPS）是药物治疗无效的布加综合征（BCS）的标准治疗方法。然而，心房近端下腔静脉（IVC）梗阻的患者无法从TIPS中获益，必须采用手术方法。我们报告了一例因心包内IVC梗阻导致的BCS病例。我们描述了一种使用新鲜腔静脉同种异体移植物的新型手术方法。对IVC梗阻进行球囊扩张的尝试因右心房破裂伴心包填塞和心室颤动而复杂化。最近，患者通过插入新鲜腔静脉同种异体移植物成功进行了腔房连续性重建，这是一种此前从未用于BCS的新型手术方法。进一步随访显示腹水逐渐减少并消退，整体临床状况改善。靠近心房的IVC梗阻可通过一种新技术进行手术治疗，该技术包括切除下腔静脉并用腔静脉同种异体移植物进行置换。