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Angiology
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Retrohepatic Cavoatrial Shunt with a Ringed Polytetrafluoroethylene Graft for the Budd-Chiari Syndrome

A Case Report

Koki Tanaka

Hitoshi Toyohira

Ryuji Murata

Hiroshi Shibuya

Shinji Shimokawa

Nobuo Hamada

Akira Taira

Koki Tanaka, MD

Second Department of Surgery Kagoshima University 35-1 Sakuragaoka 8-chome Kagoshima, 890 Japan

This report describes a patient with Budd-Chiari syndrome who was operated on success fully by means of shunt formation with polytetrafluoroethylene graft between the inferior vena cava (IVC) and right atrium. The patient is a sixty-two-year-old woman suffering from persistent edema of the lower limbs for four years. The examination disclosed complete obstruction of the IVC at the level of the diaphragm with a patent right inferior hepatic vein. Following the operation, edema of the limbs disappeared, hypersplenism improved, and the serum ammonium concentration decreased to the normal range. In conclusion, a retrohepatic cavoatrial shunt is feasible and useful in treating a patient with the Budd-Chiari syndrome who has patent major hepatic veins.

Angiology, Vol. 48, No. 9, 833-838 (1997)
DOI: 10.1177/000331979704800911
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