Liver transplantation with atrioatrial anastomosis for Budd-Chiari syndrome

Abstract 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.