2 STAGE SURGICAL-MANAGEMENT OF THE BUDD-CHIARI SYNDROME ASSOCIATED WITH OBSTRUCTION OF THE INFERIOR VENA-CAVA

  • 1 January 1984
    • journal article
    • research article
    • Vol. 159  (2) , 101-107
Abstract
A new, staged surgical approach to the treatment of Budd-Chiari syndrome complicated by inferior vena caval obstruction was described. The 1st stage consists of a mesoatrial shunt. After an interval to allow hepatic decongestion, re-establishment of caval flow and overall improvement in the status of the patient, a portacaval shunt is established and the mesoatrial shunt removed. Such a staged procedure produced an excellent result in the patient reported on in this study and represents a treatment option in similar patients with Budd-Chiari syndrome complicated by obstruction of the inferior vena cava.