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A two-stage approach to the surgical management of acute Budd-Chiari syndrome complicated by inferior vena caval obstruction was advocated by our group in 1984. This entailed initial hepatic decompression by suprahepatic, mesoatrial shunt, with subsequent takedown of the mesoatrial shunt combined with conversion to a short infrahepatic, portacaval shunt. We report herein the late follow-up results for two patients managed in this manner. While both patients are alive and doing well, both of the courses have been complicated by stenosis of the inferior vena cava. The cause is unclear but probably relates to fibrosis at the hepatic venous orifices. Management was by percutaneous balloon dilation, which relieved the recurrent hepatic congestion. This cautions others considering this approach to provide careful longitudinal follow-up study for such patients.
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
August 1984,
Surgery, gynecology & obstetrics,
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
July 1981,
Nihon geka hokan. Archiv fur japanische Chirurgie,
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
June 1968,
Gastroenterology,
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
June 1968,
Gastroenterology,
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
January 1973,
The Journal of cardiovascular surgery,
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
July 1985,
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai,
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
December 1995,
The American journal of gastroenterology,
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
August 1984,
Archives of surgery (Chicago, Ill. : 1960),
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
August 1985,
Nihon Geka Gakkai zasshi,
R H Jennings, and
J M Henderson, and
W J Millikan, and
W D Warren
May 2000,
Presse medicale (Paris, France : 1983),
