J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1797KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 95(4): 282-285, 1994

Case report

A CASE OF BUDD-CHIARI SYNDROME TREATED BY RADICAL OPERATION UNDER HEPATIC PERFUSION AND EXTRACORPOREAL CIRCULATION

1) Department of surgery, Kohoku General Hospital, Shiga, Japan
2) Second Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
3) Third Department of Internal Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan
4) Department of lnternal Medicine, Notogawa Hospital, Shiga, Japan

Makoto Ono1), Takeshi Hironaka1), Shin-ichi Sato2), Katsufumi Hori1), Takeshi Okanoue3), Hikoharu Kanaoka4)

A 41-year-old male patient of Budd-Chiari syndrome associated with membranous obstructions of the retrohepatic inferior vena cava and the left hepatic vein was reported. A radical operation was carried out. The retrohepatic inferior vena cava was reconstructed by a ringed EPTFE patch graft after endovenectomy with the aid of extracorporeal circulation for caval and portal bypasses utilizing cold hepatic perfusion. The patient has been doing well 18 months after the operation.

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