Mesoatrial shunting for portal decompression in alcoholic cirrhosis. J Cardiovasc Surg (Torino) 1986;27(2):234-5
Date
03/01/1986Pubmed ID
3485104Scopus ID
2-s2.0-0022642066 (requires institutional sign-in at Scopus site)Abstract
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.
Author List
Hossein Almassi G, Kocay D, Gasior RM, Verta MJ JrAuthor
G Hossein Almassi MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultEsophageal and Gastric Varices
Gastrointestinal Hemorrhage
Heart Atria
Humans
Liver Cirrhosis, Alcoholic
Male
Mesenteric Veins
Portasystemic Shunt, Surgical
