Nakao K, Adachi S, Kawashima Y, Okamoto E, Manabe H
J Cardiovasc Surg (Torino). 1984 May-Jun;25(3):216-21.
The Budd-Chiari syndrome is caused by an occlusion of the hepatic veins and is often associated with an obstruction in the hepatic portion of the inferior vena cava (IVC). Therefore, the various shunt operations done in an attempt to relieve the portal hypertension are often not effective. By using a radical surgical technique on six patients with Budd-Chiari syndrome, the liver was freed and a wide longitudinal incision was made in the hepatic portion of the IVC. The obstructed hepatic vein was reopened using a Fogarty catheter, and a pericardial patch reinforced with a Teflon prosthesis was secured over the incision. Two patients were still asymptomatic 3 and 4 years after operation. Two patients died postoperatively of pneumonia and hepatic insufficiency. The two other patients were discharged in fair condition, and one died 6 months postoperatively following hepatic failure.
布加综合征是由肝静脉闭塞引起的，常伴有下腔静脉肝段梗阻。因此，为缓解门静脉高压而进行的各种分流手术往往无效。通过对6例布加综合征患者采用根治性手术技术，游离肝脏并在下腔静脉肝段做一宽大的纵行切口。用Fogarty导管重新开通受阻的肝静脉，并在切口上用带聚四氟乙烯假体加强的心包补片进行修补。2例患者术后3年和4年仍无症状。2例患者术后死于肺炎和肝功能不全。另外2例患者出院时情况尚可，其中1例术后6个月因肝衰竭死亡。
