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KMID : 0364019950280030268
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 3 p.268 ~ p.273
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Buss-Chiari Syndrome Resulting from a Membranous Obstruction of the Inferior Vena Cava
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Abstract
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Budd-chiari syndrome resulting from a membranous obstruction of the inferior vena cava (IVC) is a rare congenital anomaly.
From January 1989 to December 1993, 8 cases of IVC obstruction was treated in Kyung Hee Univ. Hospital: There were 2 male and 6 female patients between 34 and 66 years of age (mean 47.3*11.9 years og age). 4 patients were treated with angioplasty
by
balloon catheter and 4 patients were treated with operative correction using cardiopulmonary bypass, profound hypothermia and total circulatory arrest. These 4 patients were repaired the constricted IVC with autologous pericardial patch.
In surgically treated patients, all of the specimens were confirmed to be membranous wed histopathologically.
Postoperative outcome in operative correcting patients was uneventful and postoperative angiography showed unobstructed flow through the IVC with filling of the hepatic veivns.
The above 8 patients were followed up from 10 months to 56 months (mean 36.43*17.24 months) and recurrent IVC obstruction or stenosis was not seen.
(Korean J Thorac Cardiovasc Surg 1995;28:268-73)
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