[A case report of Budd-Chiari syndrome treated with radical operation]

We report a case of Budd-Chiari syndrome in which, radical operation was successfully performed. A 60-year-old male was admitted to our hospital for evaluation of liver dysfunction. Caval venography demonstrated caval obstruction with an extensive collateral circulation passing through the azygos veins. At the operation, intraoperative Doppler echography revealed complete obstruction with thrombus of the IVC. We performed endovenectomy and patch dilatation under circulatory assist with femorofemoral bypass. After this procedures, doppler echography demonstrated excellent flow with no residual stenosis. AKBR was immediately recovered from the abnormal states compared with other laboratory data. The patient has been doing well after 3 years postoperatively.