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Ann Thorac Surg 1998;66:1803-1804
© 1998 The Society of Thoracic Surgeons

Case Reports

Hepatoatrial anastomosis and tricuspid valve replacement in Budd-Chiari syndrome 8.

Cynthia K. Chiu, MDa, David M. Nagorney, MDa, Hartzell V. Schaff, MDa

a Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA

Accepted for publication May 11, 1998.

Address reprint requests to Dr Schaff, Department of Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905
e-mail: (schaff{at}mayo.edu)

The rare complication of tricuspid valve stenosis due to displacement of a peritoneovenous shunt catheter developed in a patient with Budd-Chiari syndrome. Surgical management included shunt removal and tricuspid valve replacement combined with hepatoatrial anastomosis. The tricuspid valve was replaced with a bioprosthesis, and liver resection opened the stenotic confluence of the hepatic veins. The right atrium was sutured to the liver capsule, thereby restoring physiologic hepatic venous blood flow.






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