Mesojugular shunt for Budd-Chiari syndrome: a case report with long-term follow-up

Ann Vasc Surg. 2010 Oct;24(7):953.e1-5. doi: 10.1016/j.avsg.2010.02.050. Epub 2010 Jul 6.

Abstract

Background: We report a case of a mesojugular shunt for Budd-Chiari syndrome (BCS) with long-term follow-up.

Methods: A 32-year-old woman presented with late stage BCS. She was treated with a mesojugular shunt to relieve her portal hypertension. In a 17-year follow-up, she had a pregnancy, a postpartum period, and was diagnosed with systemic lupus eythematosus. She has resumed work as an operating room nurse and is having a normal life. Her graft remains patent.

Conclusion: A mesojugular shunt has less surgical trauma and satisfactory long-term patency than other shunts. It can be used to treat severe patients with BCS who are not candidates for intervention.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anastomosis, Surgical
  • Blood Vessel Prosthesis Implantation*
  • Budd-Chiari Syndrome / complications
  • Budd-Chiari Syndrome / diagnostic imaging
  • Budd-Chiari Syndrome / surgery*
  • Female
  • Humans
  • Hypertension, Portal / etiology
  • Hypertension, Portal / surgery
  • Jugular Veins / surgery*
  • Live Birth
  • Lupus Erythematosus, Systemic / complications
  • Lupus Erythematosus, Systemic / diagnosis
  • Mesenteric Veins / surgery*
  • Pregnancy
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Patency