Radical surgery for Budd-Chiari syndrome. Direct excision and repair for obstruction of the vena cava (Budd-Chiari syndrome) under hepatic vascular exclusion using a centrifugal pump

Objective: To attempt to reduce the incidence of hepatic and cardiac failure after radical surgery for the Budd‐Chiari syndrome. Design: Retrospective case study. Setting: University hospital, Japan Subjects: Three patients with obstruction of the vena cava (Budd‐Chiari syndrome) by a thick membrane...

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Bibliographic Details
Published in:The European journal of surgery 1999-07, Vol.165 (7), p.632-637
Main Authors: Takano, Seigo, Takahashi, Tomohide, Ohishi, Hitoshi, Kono, Satoru, Kawakami, Shinjiro, Iwai, Shigetomi
Format: Article
Language:English
Subjects:
Animals
Biological and medical sciences
Blood Vessel Prosthesis Implantation - methods
Budd-Chiari Syndrome - diagnostic imaging
Budd-Chiari Syndrome - surgery
Extracorporeal Circulation - instrumentation
Extracorporeal Circulation - methods
Female
Hepatic Veins - diagnostic imaging
Hepatic Veins - surgery
Humans
Male
Medical sciences
Middle Aged
Monitoring, Intraoperative
Pericardium - transplantation
Radiography
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Suture Techniques
Swine
Ultrasonography
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vena Cava, Inferior - diagnostic imaging
Vena Cava, Inferior - surgery
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Summary:Objective: To attempt to reduce the incidence of hepatic and cardiac failure after radical surgery for the Budd‐Chiari syndrome. Design: Retrospective case study. Setting: University hospital, Japan Subjects: Three patients with obstruction of the vena cava (Budd‐Chiari syndrome) by a thick membrane, thrombus, and a long stenosis, respectively. Intervention: Direct excision and repair by patch dilatation under hepatic vascular exclusion using a Biomedicus centrifugal pump. Results: Hepatic vascular exclusion provides good visibility and enablies accurate assessment of the obstruction, proper treatment, and relatively little blood loss. There were no complications, particularly liver failure or heart failure, and the inferior vena cava stayed patent in all cases. Liver function was improved in all three patients. Conclusion: This technique is safe and reliable for removal of obstruction of the inferior vena cava (Budd‐Chiari syndrome). Copyright © 1999 Taylor and Francis Ltd.
ISSN:1102-4151
1741-9271
DOI:10.1080/11024159950189672