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KMID : 0364020100430050525
Korean Journal of Thoracic and Cardiovascular Surgery
2010 Volume.43 No. 5 p.525 ~ p.528
Dorsal Cavoatrial Bypass for Congenital Interruption of IVC
Choe Ju-Won

Hong Joon-Hwa
Sohn Dong-Suep
Cho Dai-Yun
Abstract
Congenital interruption of the inferior vena cava (IVC) can lead to secondary hepatic congestion, portal hypertension, and liver cirrhosis. A 49-year-old woman was admitted to the gynecology department with symptoms of menorrhalgia, known uterine myoma, and anemia. Abdominal computed tomography (CT) and venography performed at our hospital revealed congenital interruption of the IVC. The patient underwent retrohepatic cavoatrial bypass surgery with a polytetrafluoroethylene (PTFE) 16-mm ringed graft via posterolateral thoracotomy, and recovered without major complications. A retroperitoneal approach via posterolateral thoracotomy provides appropriate visualization during dorsal cavoatrial bypass in treating patients with congenital interruption of IVC.
KEYWORD
Bypass, Budd-Chiari syndrome, Vena cava, inferior
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