Tanaka K, Toyohira H, Murata R, Shibuya H, Shimokawa S, Hamada N, Taira A
Second Department of Surgery, Kagoshima University, Japan.
Angiology. 1997 Sep;48(9):833-8. doi: 10.1177/000331979704800911.
This report describes a patient with Budd-Chiari syndrome who was operated on successfully by means of shunt formation with polytetrafluoroethylene graft between the inferior vena cava (IVC) and right atrium. The patient is a sixty-two-year-old woman suffering from persistent edema of the lower limbs for four years. The examination disclosed complete obstruction of the IVC at the level of the diaphragm with a patent right inferior hepatic vein. Following the operation, edema of the limbs disappeared, hypersplenism improved, and the serum ammonium concentration decreased to the normal range. In conclusion, a retrohepatic cavoatrial shunt is feasible and useful in treating a patient with the Budd-Chiari syndrome who has patent major hepatic veins.
本报告描述了一名布加综合征患者，通过在腔静脉（IVC）和右心房之间使用聚四氟乙烯移植物形成分流术成功进行了手术。该患者为一名62岁女性，下肢持续性水肿4年。检查发现膈肌水平的IVC完全阻塞，右下肝静脉通畅。手术后，肢体水肿消失，脾功能亢进改善，血清铵浓度降至正常范围。总之，肝后腔房分流术对于治疗主要肝静脉通畅的布加综合征患者是可行且有效的。
