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Titolo:
TRANSCAVAL LIVER RESECTION WITH HEPATOATRIAL ANASTOMOSIS FOR TREATMENT OF PATIENTS WITH THE BUDD-CHIARI SYNDROME - LATE RESULTS
Autore:
PASIC M; SENNING A; VONSEGESSER L; CARREL T; TURINA M;
Indirizzi:
UNIV HOSP ZURICH,CARDIOVASC SURG CLIN,RAMISTR 100 CH-8091 ZURICH SWITZERLAND
Titolo Testata:
Journal of thoracic and cardiovascular surgery
fascicolo: 2, volume: 106, anno: 1993,
pagine: 275 - 282
SICI:
0022-5223(1993)106:2<275:TLRWHA>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFERIOR VENA-CAVA; SIDE PORTACAVAL-SHUNT; SURGICAL-MANAGEMENT; LUMINAL ANGIOPLASTY; MESOATRIAL SHUNT; OPERATIVE REPAIR; TRANSPLANTATION; MEMBRANOTOMY; OBSTRUCTION; RECOGNITION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
53
Recensione:
Indirizzi per estratti:
Citazione:
M. Pasic et al., "TRANSCAVAL LIVER RESECTION WITH HEPATOATRIAL ANASTOMOSIS FOR TREATMENT OF PATIENTS WITH THE BUDD-CHIARI SYNDROME - LATE RESULTS", Journal of thoracic and cardiovascular surgery, 106(2), 1993, pp. 275-282

Abstract

Between 1980 and 1990 transcaval liver resection with hepatoatrial anastomosis was performed in 17 patients with the Budd-Chiari syndrome. There were two early deaths (early mortality 11.7%). Hepatic function returned to normal and hepatosplenomegaly disappeared in all but two patients with preexisting cirrhosis. All survivors regained normal working capacity after the operation. During an average follow-up of 6 years (7 months to 11 years) there were three late deaths due to progression of the underlying disease. The actuarial 1-, 5-, and 10-year survivals were 82%, 76%, and 57%, respectively. Hepatoatrial anastomosis represents an optimal treatment for patients with the Budd-Chiari syndrome and obstruction of major hepatic veins. Patients with compression of the inferior vena cava, very common in this disease, were treated bysimultaneous transcaval stenting. The late results are very satisfactory, with excellent quality of life. With adequate hepatic function, results of hepatoatrial anastomosis are superior to those of liver transplantation, which represents the only alternative for patients with the advanced form of the Budd-Chiari syndrome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 05:43:40