The European journal of surgery = Acta chirurgica · 2002
Treatment of Budd-Chiari syndrome with inferior vena caval occlusion by mesoatrial shunt.
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Behera Arunanshu, Menakuru Somasekhar R, Thingnam Shyam, Kaman Lileswar, Bhasin Deepak K, Kochher Rakesh, Dhiman Radhakrishan, Singh Kartar
Аннотация
OBJECTIVE: To report the effectiveness of a mesoatrial shunt in the treatment of Budd-Chiari syndrome caused by combined hepatic vein and inferior vena caval block.
DESIGN: Retrospective study.
SETTING: Tertiary care hospital, India.
PATIENTS: 10 patients (4 men and 6 women; mean age 28, range 18-45) who had operations for Budd-Chiari syndrome between 1994 and 2000.
INTERVENTION: Mesoatrial shunt.
MAIN OUTCOME MEASURES: Graft patency, survival, liver function and symptoms.
RESULTS: One patient died. All grafts were patent over a mean follow up period of 40 months (range 6-71). All survivors have normal liver function and were symptom free at the time of writing.
CONCLUSION: Mesoatrial shunt is effective in the treatment of Budd-Chiari syndrome caused by combined hepatic vein and vena caval occlusion.
DESIGN: Retrospective study.
SETTING: Tertiary care hospital, India.
PATIENTS: 10 patients (4 men and 6 women; mean age 28, range 18-45) who had operations for Budd-Chiari syndrome between 1994 and 2000.
INTERVENTION: Mesoatrial shunt.
MAIN OUTCOME MEASURES: Graft patency, survival, liver function and symptoms.
RESULTS: One patient died. All grafts were patent over a mean follow up period of 40 months (range 6-71). All survivors have normal liver function and were symptom free at the time of writing.
CONCLUSION: Mesoatrial shunt is effective in the treatment of Budd-Chiari syndrome caused by combined hepatic vein and vena caval occlusion.