Imaoka S, Okamoto N, Kobayashi T, Fujimoto K, Iwanaga T
Arch Surg. 1984 Aug;119(8):965-8. doi: 10.1001/archsurg.1984.01390200081019.
We treated a patient who had an inferior vena cava (IVC) obstruction associated with Budd-Chiari syndrome. All of the right, middle, and left hepatic veins were completely obstructed. The IVC was obstructed by a membranous substance and thrombus at the hepatic portion and was completely occluded by a fibrous septum at the site of a suprahepatic coarctation. A cavotomy was performed transversely at the suprahepatic level and then longitudinally to the level just above the renal veins, and the obstructing tissue was removed. An additional vertical incision was made in the IVC over the coarctation, and an autologous pericardial patch was sutured in place to widen the IVC. The patient was discharged with the patency of the IVC restored.
我们治疗了一名患有与布加综合征相关的下腔静脉（IVC）梗阻的患者。肝右、中、左静脉均完全阻塞。下腔静脉在肝段被膜状物质和血栓阻塞，在肝上缩窄部位被纤维隔膜完全闭塞。在肝上水平横向进行腔静脉切开术，然后纵向延伸至肾静脉上方水平，切除阻塞组织。在缩窄部位的下腔静脉上额外做了一个垂直切口，并缝合了一块自体心包补片以扩大下腔静脉。患者出院时下腔静脉恢复通畅。
