This paper is only available as a PDF. To read, Please Download here.
Abstract
Coexistent caval and portal hypertension was recognized on preoperative angiographic
study of a patient with cirrhosis and variceal bleeding. This hemodynamic situation
can preclude adequate reduction of portal hypertension by portasystemic shunt and
can result in fatal postoperative bleeding. Resection of a very large caudate lobe
effectively reduced caval pressure and allowed a direct solution to the problem by
portacaval anastomosis, rather than by more complex shunts or by nonshunting procedures
previously suggested as alternatives.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Interposition mesocaval shunt for treatment of portal hypertension.Ann Surg. 1972; 176: 435-446
- Coexistent inferior vena caval and portal hypertension: splenic to left hepatic vein anastomosis in a cirrhotic patient.Arch Surg. 1974; 109: 819-821
- Abdominal vena caval pressure and portal hypertension.Arch Surg. 1970; 101: 363-365
- Gastrointestinal Angiography.in: ed 2. WB Saunders Co, Philadelphia1977: 321
- A randomized controlled trial of the distal splenorenal shunt.Ann Surg. 1978; 188: 271-280
- Hemodynamic contrasts between selective and total portal-systemic decompression.Ann Surg. 1971; 173: 827-844
- Results of interposition “H” grafts for portal hypertension.Ann Surg. 1978; 187: 515-520
- Selective distal splenorenal shunt: Technique and results of operation.Arch Surg. 1974; 108: 306-314
- Combined caval and portal hypertension with cirrhosis of the liver: a problem in management.Ann Surg. 1973; 177: 164-166
Article info
Publication history
Accepted:
May 22,
1979
Identification
Copyright
© 1980 Published by Elsevier Inc.
