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

[Abstract] [Full Text PDF] （in Japanese / 789KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 96(7): 485-488, 1995

Case report

A CASE REPORT OF BUDD-CHIARI SYNDROME TREATED WITH RADICAL OPERATION

1) Division of Cardiovascular Surgery, Koga Hospital, Kurume, Japan
2) Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Saga, Japan
3) The Third Department of Surgery, Nihon University School of Medicine, Tokyo, Japan

Hisao Suda1), Kazuhisa Rikitake2), Masahito Sakai2), Masafumi Natsuaki2), Tsuyoshi Ito2), Tomohide Takahashi3)

We report a case of Budd-Chiari syndrome in which, radical operation was successfully performed. A 60-year-old male was admitted to our hospital for evaluation of liver dysfunction. Caval venography demonstrated caval obstruction with an extensive collateral circulation passing through the azygos veins. At the operation, intraoperative dopper echography revealed complete obstruction with thrombus of the IVC. We performed endovenectomy and patch dilatation under circulatory assist with femorofemoral bypass. After this procedures, doppler echography demonstrated excellent flow with no residual stenosis. AKBR was immediately recovered from the abnormal states compared with other Iaboratory data. The patient has been doing well after 3 years postoperatively.

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