Open AccessMesoatrial Shunt
Author(s) -
John L. Cameron,
Willis C. Maddrey
Publication year - 1978
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197804000-00010
Subject(s) - medicine , budd–chiari syndrome , shunt (medical) , inferior vena cava , asymptomatic , decompression , surgery , right atrium , portal vein , radiology , angiography , portal venous pressure , vena cava , superior mesenteric vein , portal hypertension , cirrhosis
A patient is presented with the Budd-Chiari Syndrome. Because of a thrombosed inferior vena cava, none of the standard portal-systemic shunts could be utilized for decompression of the engorged liver. A new shunt constructed by interposing a Dacron graft between the superior mesenteric vein and the right atrium was performed. Portal pressure was reduced by the shunt from 30 cm of H2O to 10 cm of H2O. Patency has been confirmed post-operatively by catheterization and with angiography. The patient is asymptomatic with normal liver function tests nine months following the procedure. A surgical approach is outlined for symptomatic patients with the Budd-Chairi Syndrom.