Korean J Thorac Cardiovasc Surg.  1999 Jan;32(1):75-79.

The Successfully Redoaugmentation of Budd-Chiari Syndrome with Using Gore-Tex Patch of the IVC Obstruction

• Jee HO
• Lee JH
• Jeon SH
• Jung TY
• Shin SH
• Jun YB
• Son ST

Abstract

Budd-Chiari syndrome is a state of hepatic failure caused by impairment of blood flow anywhere from the inferior vena cava to the right atrium. In this case, a 45 year old patient had undergone membranotomy and dilatation with autogenous pericardial graft due to obstruction of the inferior vena cava caused by a congenital membrane in 1987. Ten years after the operation, restenosis occurred. Although a noninvasive method with a Gianturco stent dilatation was performed, a satisfactory result was not obtained. A reoperation was performed. The stenotic segment of inferior vena cava was excised and after augmentation with a prepared pentagon shaped Gore-Tex artificial graft allowing passage of two fingers. The patient's postoperative course was uneventful without signs of rebleeding or any other complications and the patient was discharged at postoperative two weeks without the use of anticoagulants. An excellent result was obtainable after operation using a prepared Gore-Tex graft and such a result. Reoperational case of Budd-Chiari syndrome may require rapid and excellent the operative techenic by prevention of massive bleeding under use of extracorporeal circulation.

Keyword

Budd-Chiari syndrome; Inferior vena cava; Gore-Tex

MeSH Terms

Anticoagulants
Budd-Chiari Syndrome*
Dilatation
Extracorporeal Circulation
Fingers
Heart Atria
Hemorrhage
Humans
Liver Failure
Membranes
Middle Aged
Polytetrafluoroethylene*
Reoperation
Stents
Transplants
Vena Cava, Inferior
Anticoagulants
Polytetrafluoroethylene