Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Budd-Chiari Syndrome Resulting from a Membranous Obstruction of the Inferior Vena Cava -8 Case Report-

하공정맥 막성폐쇄에 의한 Budd-Chiari증후군의 치료

  • Published : 1995.03.01
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Abstract

Budd- chiari syndrome resulting from a membranous obstruction of the inferior vena cava[IVC is a rare congenital anomaly. From January 1989 to December 1993, 8 cases of IVC obstruction was treated in Kyung Hee Univ. Hospital. There were 2 male and 6 female patients between 34 and 66 years of age[mean 47.3$\pm$11.9 years of age . 4 patients were treated with angioplasty by balloon catheter and 4 patients were treated with operative correction using cardiopulmonary bypass, profound hypothermia and total circulatory arrest. These 4 patients were repaired the constricted IVC with autologous pericardial patch. In surgically treated patients, all of the specimens were confirmed to be membranous web histopathologically. Postoperative outcome in operative correcting patients was uneventful and postoperative angiography showed unobstructed flow through the IVC with filling of the hepatic veins.The above 8 patients were followed up from 10 months to 56 months [ mean 36.43 17.24 months and recurrent IVC obstruction or stenosis was not seen.

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References

  1. 대한방사선의학회지 v.28 하대 정맥의 막성폐쇄에 의한 Budd-Chiari 증후군 : 초음파 및 전산화단층촬영소견의 비교 이동호;임재훈;고영태;윤엽;임주원
  2. Arch Surg v.111 Incomplete Membranous Obstruction of the Inferior Vena Cava Horisawa,M.;Yokoyama,T.;Juttner,H.
  3. Surgery v.76 Successful balloon membranotomy for obstruction of the hepatic portion of the inferior vena cava Eguchi,S.;Takeuchi,Y.;Asano,K.
  4. Radiology v.176 Hepatic Inferior Vena Cava Obsturuction: Treatment of Two Types with Gianturco Expandable Metallic Stents Furui,S.;Sawada,S.;Irie,T.(et al.)
  5. Ann Surg v.188 Treatment of Budd-Chiari Syndrome by Side to Side Portocaval Shunt : Experimental and Clinical Results Orloff,M.J.;Johansen,K.H.
  6. Ann Surg v.198 The Budd-Chiari Syndrome Treatment by Mesenteric-Systemic Venous Shunts Cameron,J.L.;Herlong,H.F.;Sanfey,H.(et al.)
  7. J Thorac Cadiovasc Surg v.3 Transcardiac Membranotomy for Obliteration of the Inferior Vena Cava in the Hepatic Portion Kimura,L.;Shirotani,H.;Kuma,T.(et al.)
  8. Ann Thorac Surg v.43 Budd-Chiari Syndrome Resulting from a Membranous Web of the Inferior Vena Cava: Operative Repair Using Profound Hypothermia and Circulatory Arrest Murphy,J.P.;Gregoric,I.;Cooley,D.A.
  9. 대흉외지 v.24 초 저체온법과 전혈류 정지술을 이용한 하공정맥 폐쇄증의 수술 치험. -1례 보고- 유재현;김응중;임승평;이영;이헌영
  10. 대한맥관외과학회지 v.8 하대정맥 폐쇄의 수술요법 12례 보고 원용순;홍종면;김기봉