BYPASS SHUNT BETWEEN RIGHT ATRIUM AND INFERIOR VENA CAVA OR/AND PORTAL VEIN SYSTEM IN THE TREATMENT OF BUDD-CHIARI SYNDROME
- VernacularTitle:右心房与下腔静脉或门静脉系旁路分流术治疗Budd-Chiari综合征
- Author:
Zengmin CHEN
- Publication Type:Journal Article
- Keywords:
Budd-Chiari syndrome Blood vessel prosthesis Bypass shunt
- From:
Medical Journal of Chinese People's Liberation Army
1983;0(02):-
- CountryChina
- Language:Chinese
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Abstract:
Using 16-18mm diameter Dacron graft, a shunt was established between the right atrium and the inferior vena cava distal to occlusion or/and portal vein system in 14 patients with Budd-Chiari syndrome. The operative methods are classified as follows: prehepatic cavoatrial shunt, 10 cases; iliac-mesen-teric-atrial shunt, 1 case; mesoatrial shunt and portoatrial shunt 2 cases each. Total operation number was 15. The cavoatrial and iliac-mesenteric-atrial shunt resulted in a significant fall in the pressure of the inferior vena cava and portal vein. The portoatrial and mesoatrial shunt only decreased the portal pressure. There was no operative death in this group. There was either total subsidence or partial alleviation of symptoms in all patients when discharged from hospital. Two cases with cavoatrial shunt died 5 and 6 months postoperatively. A serious stenosis of the graft was found in a patient with a mesenteric-atrial shunt half a year after operation.The remaining 11 cases were followed-up for 8-30 months, and all of them appeared healthy and resumed work. Angiography was performed in 10 patients 6-10 months after surgery, and it showed that the grafts were patent.
