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Ann Thorac Surg 1990;50:658-660
© 1990 The Society of Thoracic Surgeons

Articles

Liver transplantation with atrioatrial anastomosis for Budd-Chiari syndrome

Thierry Carrel, MD*, Marco Decurtins, MD, Andreas Laske, MD, Erwin Bauer, MD, Ludwig von Segesser, MD, Felix Largiadèr, MD, Marko Turina, MD

Clinic for Cardiovascular Surgery and Clinic for Visceral Surgery, Department of Surgery, University Hospital, Zürich, Switzerland

Accepted for publication April 20, 1990.

* Address reprint requests to Dr Carrel, Clinic of Cardiovascular Surgery, University Hospital, Rämistrasse 100, CH-8091, Zürich, Switzerland.

We report the case of a young woman with Budd-Chiari syndrome in whom mesentericocaval shunt was first performed, followed by transcaval liver resection and hepatoatrial anastomosis 3 years later. Liver transplantation became necessary 5 years later because of deteriorating liver function with portal hypertension and bleeding. Successful transplantation was performed with atrioatrial anastomosis with help of cardiopulmonary bypass, simplifying considerably the technical procedure and reducing dramatically blood loss.




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