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

Chiu, C K; Nagorney, D M; Schaff, H V · Ann Thorac Surg · 1998

case_report · Level V

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Abstract

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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