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

Détails

ID Serval
serval:BIB_847C896CF06A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Transcaval liver resection with hepatoatrial anastomosis for treatment of patients with the Budd-Chiari syndrome. Late results
Périodique
Journal of Thoracic and Cardiovascular Surgery
Auteur(s)
Pasic  M., Senning  A., von Segesser  L., Carrel  T., Turina  M.
ISSN
0022-5223
Statut éditorial
Publié
Date de publication
08/1993
Peer-reviewed
Oui
Volume
106
Numéro
2
Pages
275-82
Notes
Journal Article --- Old month value: Aug
Résumé
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.
Mots-clé
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
Création de la notice
14/02/2008 15:18
Dernière modification de la notice
03/03/2018 18:55
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