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[Budd-Chiari syndrome. Treatment by meso-atrial shunt]
Presse Medicale (Paris, France : 1983)
|July 9, 1983
Insights
Chronic Budd-Chiari syndrome treatment is complicated by inferior vena cava obstruction. Establishing a shunt using a PTFE prosthesis between the superior mesenteric vein and right atrium offers a therapeutic solution.
Area of Science:
- Vascular surgery
- Hepatology
- Interventional radiology
Context:
- Chronic Budd-Chiari syndrome presents challenges due to inferior vena cava (IVC) stenosis or obstruction.
- Effective management of IVC obstruction is critical for patient outcomes.
Purpose:
- To describe a surgical technique for managing IVC obstruction in chronic Budd-Chiari syndrome.
- To evaluate the feasibility of creating an artificial shunt for venous decompression.
Summary:
- A therapeutic approach involves creating an artificial shunt between the superior mesenteric vein (SMV) and the right atrium.
- This shunting procedure is facilitated by the use of a long, ringed Polytetrafluoroethylene (PTFE) prosthesis, also known as Gore-Tex.
Impact:
- Provides a potential solution for complex IVC stenosis cases.
- May improve treatment efficacy for chronic Budd-Chiari syndrome patients with IVC obstruction.
Abstract:
Tight stenosis or obstruction of the inferior vena cava complicates the treatment of chronic Budd-Chiari syndrome. A possible therapeutic measure is to establish an artificial shunt between the superior mesenteric vein and the right atrium. Shunting is facilitated by using a long, ringed P.T.F.E. (Goretex) prosthesis.