| Autor: |
Hossein Almassi G, Kocay D, Gasior RM, Verta MJ Jr |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of cardiovascular surgery [J Cardiovasc Surg (Torino)] 1986 Mar-Apr; Vol. 27 (2), pp. 234-5. |
| Abstrakt: |
A 36-year-old Chinese man with alcoholic cirrhosis presented to hospital with exsanguinating variceal hemorrhage. Conventional porta-systemic decompressive operations could not be done because of dense vascular adhesions from two previous operations and a sub-hepatic abcess. A mesenteric-to-right-atrial shunt was done with successful control of hemorrhage and reduction of portal pressure. Long-term follow-up reveals no further bleeding and a return to full-time employment. We conclude that mesoatrial shunting is a useful alternative procedure for portasystemic decompression in alcoholic cirrhosis, although one which will be needed only in unusual circumstances. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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