A CASE OF BUDD-CHIARI SYNDROME-EVALUATION OF PRE- AND POSTOPERATIVE HEMODYNAMICS BY PULSED DOPPLER ULTRASONOGRAPHY-
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- NOMURA Masaya
- Departments of Surgery, Osaka Police Hospital
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- NAKAO Kazuyasu
- Departments of Surgery, Osaka Police Hospital
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- NAKAHARA Masaaki
- Departments of Surgery, Osaka Police Hospital
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- OGINO Nobuo
- Departments of Surgery, Osaka Police Hospital
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- MAEDA Katsuaki
- Departments of Surgery, Osaka Police Hospital
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- YUMIBA Takeyoshi
- Departments of Surgery, Osaka Police Hospital
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- MIYAZAKI Satoru
- Departments of Surgery, Osaka Police Hospital
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- EMOTO Takashi
- Departments of Surgery, Osaka Police Hospital
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- KUROZUMI Kazushi
- Departments of Surgery, Osaka Police Hospital
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- SAKAKIBARA Tetsuo
- Departments of Cardiovascular Surgery, Osaka Police Hospital
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- TSUJIMOTO Masahiko
- Departments of Pathology, Osaka Police Hospital
Bibliographic Information
- Other Title
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- 超音波Doppler法により直視下根治術前後の肝血行動態を観察し得たBudd-Chiari症候群の1例
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Abstract
We report a 46-year-old female with Budd-Chiari syndrome associated with intractable ascites. Ultrasonography (US), hepatic venography and cavography showed an obstruction of the confluence of hepatic veins (HV) and severe stenosis of the hepatic portion of the inferior vena cava (IVC). An operation was performed by the suprahepatic approach under partial cardiopulmonary bypass. The severe stenosis of IVC was reopened by finger fracture, and the scar was resected. The obstructed HV was reopened by using forceps. Ringed Gore-Tex patch graft was secured over the incision of IVC.<br> The blood flows by pulsed Doppler US before the operation were 0.73l/min in hepatic veins, 1.59l/min in IVC and 0.70l/min in potal vein. Postoperatively, these values were increased to 1.75l/min, 2.38l/min and 1.26l/min, respectively. Doppler waveform in the hepatic veins and the IVC changed from continuous flow to triphasic one.<br> In this case, pulsed Doppler US was quite useful in evaluating the hepatic hemodynamics before and after the operation, as well as in assessing the therapeutic effects.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 56 (12), 2668-2672, 1995
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390001205315167616
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- NII Article ID
- 130003432028
- 10008517613
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed