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

Ann Vasc Surg. 2012 Feb;26(2):277.e11-4. doi: 10.1016/j.avsg.2011.05.036. Epub 2011 Nov 12.

Abstract

Background: A case of mesocavoatrial shunting for the treatment of Budd-Chiari syndrome (BCS) with long-term follow-up is reported.

Methods: A 25-year-old man with stage II BCS was treated with a mesocavoatrial shunt to decompress the portal and IVC hypertension. During the 6-year follow-up, the patient was able to resume work as a salesperson and has since led a normal life. His graft remains patent.

Conclusion: A mesocavoatrial shunt can simultaneously decompress portal and IVC hypertension and has satisfactory long-term patency. A mesocavoatrial shunt can be used to treat patients with severe BCS who could not be successfully treated with medical therapy and intervention.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blood Vessel Prosthesis Implantation*
  • Budd-Chiari Syndrome / complications
  • Budd-Chiari Syndrome / diagnostic imaging
  • Budd-Chiari Syndrome / physiopathology
  • Budd-Chiari Syndrome / surgery*
  • Decompression, Surgical*
  • Humans
  • Hypertension, Portal / diagnostic imaging
  • Hypertension, Portal / etiology
  • Hypertension, Portal / physiopathology
  • Hypertension, Portal / surgery*
  • Male
  • Phlebography / methods
  • Portal Pressure
  • Portal Vein / diagnostic imaging
  • Portal Vein / physiopathology
  • Portal Vein / surgery*
  • Severity of Illness Index
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Patency
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / physiopathology
  • Vena Cava, Inferior / surgery*