[Abstract] [Full Text PDF] (in Japanese / 4139KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(1): 118-123, 1986


Case report

CAVOATRIAL BYPASS FOR THE OBSTRUCTION OF THE INFERIOR VENA CAVA IN THE HEPATIC PORTION THROUGH THE POSTERIOR ROUTE OF THE HEPATIC CAUDATE LOBE

Department of Thoracic and Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya, Japan

Keiichi Aoki, Takashi Miyamoto, Hideki Yao, Hirotaka Murata, Yoshizumi Oka, Shinsho Maeda, Katsuhiko Yamashita

In a 32-year-old Japanese female who had a history of Sjögren’s syndrome, the obstruction of the inferior vena cava in the hepatic portion was found associated with Budd-Chiari syndrome.
The obstruction of the inferior vena cava was about 6cm in length by cavography.
Cavoatrial bypass grafting was successfully performed with a 16mm ring reinforced expanded polytetrafluoroethylene graft, which ran behind the caudate lobe of the liver and connected to the right atrium via right pleural cavity.
This may be the first report of the posterior route of the hepatic caudate lobe in cavoatrial bypass grafting in Japanese and English literature.


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