Transcaval liver resection with hepatoatrial anastomosis for treatment of patients with the Budd-Chiari syndrome. Late results

Details

Serval ID
serval:BIB_847C896CF06A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Transcaval liver resection with hepatoatrial anastomosis for treatment of patients with the Budd-Chiari syndrome. Late results
Journal
Journal of Thoracic and Cardiovascular Surgery
Author(s)
Pasic  M., Senning  A., von Segesser  L., Carrel  T., Turina  M.
ISSN
0022-5223
Publication state
Published
Issued date
08/1993
Peer-reviewed
Oui
Volume
106
Number
2
Pages
275-82
Notes
Journal Article --- Old month value: Aug
Abstract
Between 1980 and 1990 transcaval liver resection with hepatoatrial anastomosis was performed in 17 patients with the Budd-Chiari syndrome. There were two early deaths (early mortality 11.7%). Hepatic function returned to normal and hepatosplenomegaly disappeared in all but two patients with preexisting cirrhosis. All survivors regained normal working capacity after the operation. During an average follow-up of 6 years (7 months to 11 years) there were three late deaths due to progression of the underlying disease. The actuarial 1-, 5-, and 10-year survivals were 82%, 76%, and 57%, respectively. Hepatoatrial anastomosis represents an optimal treatment for patients with the Budd-Chiari syndrome and obstruction of major hepatic veins. Patients with compression of the inferior vena cava, very common in this disease, were treated by simultaneous transcaval stenting. The late results are very satisfactory, with excellent quality of life. With adequate hepatic function, results of hepatoatrial anastomosis are superior to those of liver transplantation, which represents the only alternative for patients with the advanced form of the Budd-Chiari syndrome.
Keywords
Adult Anastomosis, Surgical Budd-Chiari Syndrome/*surgery Cardiopulmonary Bypass Female Follow-Up Studies Heart Atria/*surgery Hepatectomy/*methods Humans Liver Transplantation/mortality Male Postoperative Complications/mortality Survival Rate
Pubmed
Web of science
Create date
14/02/2008 14:18
Last modification date
20/08/2019 14:44
Usage data