J.Jpn. Surg. Soc.. 86(8): 948-952, 1985
Original article
A CASE OF SURGICAL CORRECTION OF THE INFERIOR VENA CAVA OBSTRUCTION WITH Budd-Chiari SYNDROME
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The Second Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan Hitoshi Yaku, Shuji Shirakata, Shinichi Sato, Yoshitaka Sasaki, Susumu Nakaji, Takahiro Oka, Isamu Hashimoto*) |
Aggressive surgery was carried out for this case. Midsternal incision and right subcostal oblique incision were made, and hepatic segment of the inferior vena cava was reconstructed using pericardial patch after endovenectomy and partial cardiopulmonary bypass was used without temporary interruption of liver circulation. Blood flow from the right hepatic vein was restored.
Postoperative course was not eventful and this patient remains free of any evidence of ascites and liver dysfunction after operation.
This procedure may be useful particularly for protecting the liver function which is damaged by hemostasis.
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