Mesoatrial Shunt
- 1 April 1978
- journal article
- research article
- Published by Wolters Kluwer Health in Annals of Surgery
- Vol. 187 (4) , 402-406
- https://doi.org/10.1097/00000658-197804000-00010
Abstract
A patient with Budd-Chiari syndrome is presented. Because of a thrombosed inferior vena cava, none of the standard portal-systemic shunts could be utilized for decompression of the engorged liver. A new shunt constructed by interposing a Dacron graft between the superior mesenteric vein and the right atrium was performed. Portal pressure was reduced by the shunt from 30 cm of H2O to 10 cm of H2O. Patency was confirmed post-operatively by catheterization and with angiography. The patient is asymptomatic with normal liver function tests 9 mo. after the procedure. A surgical approach is outlined for symptomatic patients with Budd-Chiari syndrome.This publication has 20 references indexed in Scilit:
- Emergency Splenic Vein-Right Atrial Shunt for Massive Esophageal Hemorrhage with Cirrhosis of Liver and Inferior Vena Cava OcclusionAnnals of Surgery, 1973
- Thrombosis in paroxysmal nocturnal hemoglobinuria (PNH) with particular reference to progressive, diffuse hepatic venous thrombosis.1972
- Budd-Chiari Syndrome Caused by a Right Atrial TumorArchives of internal medicine (1960), 1971
- Budd-Chiari syndrome in women taking oral contraceptivesThe American Journal of Medicine, 1971
- Membranous Obstruction of the Hepatic Portion of the Inferior Vena CavaArchives of Surgery, 1970
- The relationship of Budd-Chiari syndrome to oral contraceptives and trauma.1969
- Budd-Chiari syndrome after taking oral contraceptives.BMJ, 1967
- Clinical diagnosis of the Budd-Chiari syndromeThe American Journal of Medicine, 1967
- Hepatic vein thrombosis complicating polycythemia vera. Successful treatment with a portacaval shuntArchives of internal medicine (1960), 1967
- Budd-Chiari syndrome caused by a web in the inferior vena cavaThe American Journal of Medicine, 1967