Mesoatrial Shunt Operation for Treatment of Budd-Chiari Syndrome: A case report.
- Author:
Je Hoon PARK
1
;
Sun Jung LEE
;
Dong Ik KIM
;
Byung Boong LEE
Author Information
1. Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. dikim@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Mesoatrial shunt;
Budd-Chiari syndrome
- MeSH:
Abdominal Pain;
Ascites;
Budd-Chiari Syndrome*;
Diaphragm;
Hepatic Veins;
Hepatomegaly;
Korea;
Liver Cirrhosis;
Liver Failure, Acute;
Splenomegaly;
Thrombosis;
Vena Cava, Inferior
- From:Journal of the Korean Society for Vascular Surgery
2000;16(1):141-148
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
George Budd and Hans Chiari reported the condition of inferior vena cava obstruction combined with hepatic vein or inferior vena cava thrombosis in 1845 and in 1899 respectively, we have defined this condition Budd-Chiari syndrome, which is made up of ascites, hepatomegaly, and abdominal pain. This syndrome develops relatively acute symptoms and is combined with thrombosis of right hepatic vein. In 1950, Bennett reported inferior vena cava obstruction at the level of diaphragm as a similar condition, which clinically has a some different feature that develops symptoms lately, is found splenomegaly commonly, develops ascending collateral vessels, and is companied by membranous obstruction. He defined this idiopathic membranous obstruction of inferior vena cava (MOVC). Recently several cases were reported in Korea since 1978. Budd-Chiari syndrome is rare but may be fatal because of liver cirrhosis and acute hepatic failure without treatment. We reported a case of MOVC treated by mesoatrial shunt with review of literature.
