The Mesenteric-Caval Fistula: First Results of a New Technique in a Transperitoneal Reconstruction of the Caval Vein by Fulminant Thrombosis of the Inferior Vena Cava Based on Homozygous Antithrombin III-Deficiency  

作　　者：Justus Gross Rainer Petzina Rouven Berndt Bernd Panholzer Andreas Bayer Katharina Huenges Leonie Aschauer Jochen Cremer Rene Rusch Justus Gross;Rainer Petzina;Rouven Berndt;Bernd Panholzer;Andreas Bayer;Katharina Huenges;Leonie Aschauer;Jochen Cremer;Rene Rusch(Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany)

机构地区：[1]Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany

出　　处：《Surgical Science》2016年第8期342-347,共7页外科学（英文）

摘　　要：Recurrent thrombotic occlusions are one major problem in patients with thrombosis of the inferior vena cava. Due to this, we report a new surgical strategy for the construction of aorto-caval (mesenteric-caval) fistula in a patient with homozygous Antithrombin III (ATIII)-Deficiency. The patient survived postoperatively and only surgical complications grade I and II (Clavien-Dindo classification) were reported after short-term and one year follow-up. After one year, the CT-angiography did not show any caval thrombosis or stenosis and no restriction or occlusion of the fistula. Thus, the mesenteric-caval fistula could be safely performed and resulted in a satisfactory patency.Recurrent thrombotic occlusions are one major problem in patients with thrombosis of the inferior vena cava. Due to this, we report a new surgical strategy for the construction of aorto-caval (mesenteric-caval) fistula in a patient with homozygous Antithrombin III (ATIII)-Deficiency. The patient survived postoperatively and only surgical complications grade I and II (Clavien-Dindo classification) were reported after short-term and one year follow-up. After one year, the CT-angiography did not show any caval thrombosis or stenosis and no restriction or occlusion of the fistula. Thus, the mesenteric-caval fistula could be safely performed and resulted in a satisfactory patency.

关 键 词：Mesenteric-Caval Fistula THROMBOSIS Transperitoneal Reconstruction Homozygous Antithrombin III-Deficiency 

分 类 号：R73[医药卫生—肿瘤]