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Mesocavoatrial shunt for Budd-Chiari syndrome: a case report with long-term follow-up
Cheng Chao Zhang1, Zhong Gao Wang, Chun Min Li
1Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, People's Republic of China.
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.
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