Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Dorsal Cavoatrial Bypass for Segmental Obstruction of IVC; Report of 2 cases

후방 대정맥-우심방 우회술에 의한 하대정맥 미만성 폐쇄의 치험 2

  • Kim, Woong-Han (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University) ;
  • Ahn, Hyuk (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University)
  • 김웅한 (서울대학교 의과대학 흉부외과학교실) ;
  • 안혁 (서울대학교 의과대학 흉부외과학교실)
  • Published : 1993.12.01
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Abstract

Two patients with chronic Budd-Chiari syndrome resulting from segmental obstruction of the inferior vena cava underwent operation. There were 1 man and 1 woman. The obstructed segment was directly visualized by a transthoracic, transdiaphragmatic, retroperitoneal approach. In these two cases, severe segmental obstruction of the inferior vena cava was observed just above the right hepatic vein. These patients underwent successful retrohepatic cavoatrial bypass with a polytetrafloroethylene [PTFE] graft [ 16mm plain and 16mm ringed graft ]. There were no operative mortality and postoperative complication. These patients have been followed up for 6months and 36months without evidence of re-obstruction. When there is a severe stricture of the IVC with hepatic veins draining freely into the obstructed segment of the IVC, a dorsal cavoatrial bypass with a PTFE graft, preferably ringed, is the method of choice.

Keywords

References

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