Cavoatrial shunt: A graft salvage procedure for suprahepatic caval anastomosis obstruction after liver transplantation

A liver transplant recipient developed the Budd‐Chiari syndrome because of an obstruction of the suprahepatic inferior vena cava anastomosis. Percutaneous balloon dilatation angioplasty was not feasible. On exploration, dense retrohepatic fibrotic reaction was observed. The patient underwent success...

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Bibliographic Details
Published inLiver Transplantation and Surgery Vol. 4; no. 3; pp. 239 - 240
Main Authors Eid, Ahmed, Rahamimov, Ruth, Ilan, Yaron, Tur‐Kaspa, Ran, Berlatzky, Yacob
Format Journal Article
LanguageEnglish
Published Philadelphia, PA W.B. Saunders 01.05.1998
Subjects
Arteriovenous Shunt, Surgical
Blood Vessel Prosthesis Implantation
Budd-Chiari Syndrome - etiology
Budd-Chiari Syndrome - surgery
Female
Heart Atria - surgery
Hepatitis B - complications
Humans
Liver Cirrhosis - etiology
Liver Cirrhosis - surgery
Liver Transplantation
Middle Aged
Polytetrafluoroethylene
Postoperative Complications - surgery
Thrombosis - etiology
Thrombosis - surgery
Vena Cava, Inferior - surgery
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Summary:A liver transplant recipient developed the Budd‐Chiari syndrome because of an obstruction of the suprahepatic inferior vena cava anastomosis. Percutaneous balloon dilatation angioplasty was not feasible. On exploration, dense retrohepatic fibrotic reaction was observed. The patient underwent successful retrohepatic cavoatrial shunt placement by means of a 16‐mm, ring‐enforced polytetrafluoroethylene graft. We conclude that this shunt should be considered an additional graft salvage procedure for this complication.
ISSN:1074-3022
1527-6473
DOI:10.1002/lt.500040308