Korean J Thorac Cardiovasc Surg.  2010 Oct;43(5):525-528.

Dorsal Cavoatrial Bypass for Congenital Interruption of IVC

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chung-Ang University, Korea. joonhwa.hong@gmail.com

Abstract

Congenital interruption of the inferior vena cava (IVC) can lead to secondary hepatic congestion, portal hypertension, and liver cirrhosis. A 49-year-old woman was admitted to the gynecology department with symptoms of menorrhalgia, known uterine myoma, and anemia. Abdominal computed tomography (CT) and venography performed at our hospital revealed congenital interruption of the IVC. The patient underwent retrohepatic cavoatrial bypass surgery with a polytetrafluoroethylene (PTFE) 16-mm ringed graft via posterolateral thoracotomy, and recovered without major complications. A retroperitoneal approach via posterolateral thoracotomy provides appropriate visualization during dorsal cavoatrial bypass in treating patients with congenital interruption of IVC.

Keyword

Bypass; Budd-Chiari syndrome; Vena cava, inferior

MeSH Terms

Anemia
Budd-Chiari Syndrome
Estrogens, Conjugated (USP)
Female
Gynecology
Humans
Hypertension, Portal
Liver Cirrhosis
Middle Aged
Myoma
Phlebography
Polytetrafluoroethylene
Thoracotomy
Transplants
Vena Cava, Inferior
Estrogens, Conjugated (USP)
Polytetrafluoroethylene
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