하공정맥 폐색증에 의한 Budd-Chiari 증후군의 수술 치험례

Dorsal Cavoatrial Bypass for Budd-Chiari Syndrome Associated with Obstruction of the Inferior Vena Cava

A 34-year-old female was seen with Budd-Chiari syndrome caused by an obstruction of the inferior vena cava above the hepatic veins. Transatrial dilation or membranotomy was not available due to severe hourglass constriction of the inferior vena cava. Retrohepatic cavoatrial bypass with a low porosity woven Dacron graft[24mm in the diameter] was performed. For increasing the patency of venous graft, we used anticoagulation with warfarin. Postoperative course was uneventful except pleural effusion of the right luring.

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