J Korean Soc Vasc Surg.  2000 Apr;16(1):141-148.

Mesoatrial Shunt Operation for Treatment of Budd-Chiari Syndrome: A case report

• Park JH
• Lee SJ
• Kim DI
• Lee BB

Abstract

George Budd and Hans Chiari reported the condition of inferior vena cava obstruction combined with hepatic vein or inferior vena cava thrombosis in 1845 and in 1899 respectively, we have defined this condition Budd-Chiari syndrome, which is made up of ascites, hepatomegaly, and abdominal pain. This syndrome develops relatively acute symptoms and is combined with thrombosis of right hepatic vein. In 1950, Bennett reported inferior vena cava obstruction at the level of diaphragm as a similar condition, which clinically has a some different feature that develops symptoms lately, is found splenomegaly commonly, develops ascending collateral vessels, and is companied by membranous obstruction. He defined this idiopathic membranous obstruction of inferior vena cava (MOVC). Recently several cases were reported in Korea since 1978. Budd-Chiari syndrome is rare but may be fatal because of liver cirrhosis and acute hepatic failure without treatment. We reported a case of MOVC treated by mesoatrial shunt with review of literature.

Keyword

Mesoatrial shunt; Budd-Chiari syndrome

MeSH Terms

Abdominal Pain
Ascites
Budd-Chiari Syndrome*
Diaphragm
Hepatic Veins
Hepatomegaly
Korea
Liver Cirrhosis
Liver Failure, Acute
Splenomegaly
Thrombosis
Vena Cava, Inferior