A CASE OF OPERATION FOR BUDD-CHIARI SYNDROME USING PARTIAL CARDIOPULMONARY BYPASS

A 67-year-old woman with Budd-Chiari syndrome was admitted to our hospital for operation. Preoperative cavography showed occlusion of the inferior vena cava and well-developed collateral veins. The patient underwent direct reconstruction with endovenectomy and patch angioplasty of the obstructed cava using partial cardiopulmonary bypass. The markedly dilated varicose veins of the bilateral lower extremites and subcutaneous veins of the abdominal wall disappeared immediately after the operation Postoperative cavography showed the patency of the inferior vena cava. Direct reconstruction foi Budd-Chiari syndrome using partial cardiopulmonary bypass is useful for protecting the liver and reducing intraoperative bleeding.