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The examination disclosed complete obstruction of the IVC at the level of the diaphragm with a patent right inferior hepatic vein. Following the operation, edema of the limbs disappeared, hypersplenism improved, and the serum ammonium concentration decreased to the normal range. In conclusion, a retrohepatic cavoatrial shunt is feasible and useful in treating a patient with the Budd-Chiari syndrome who has patent major hepatic veins.<\/jats:p>","DOI":"10.1177\/000331979704800911","type":"journal-article","created":{"date-parts":[[2008,7,28]],"date-time":"2008-07-28T17:57:07Z","timestamp":1217267827000},"page":"833-838","source":"Crossref","is-referenced-by-count":1,"title":["Retrohepatic Cavoatrial Shunt with a Ringed Polytetrafluoroethylene Graft for the Budd-Chiari Syndrome"],"prefix":"10.1177","volume":"48","author":[{"given":"Koki","family":"Tanaka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Toyohira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuji","family":"Murata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Shibuya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Shimokawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuo","family":"Hamada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Taira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Kagoshima University 35-1 Sakuragaoka 8-chome Kagoshima, 890 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1997,9,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(88)90595-1"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(87)90022-2"},{"key":"atypb3","first-page":"551","volume":"72","author":"Kimura C.","year":"1972","journal-title":"Surgery"},{"key":"atypb4","first-page":"85","volume":"87","author":"Akita H.","year":"1980","journal-title":"Surgery"},{"key":"atypb5","first-page":"216","volume":"25","author":"Nakao K.","year":"1984","journal-title":"J Cardiovasc Surg"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1985.01390300007001"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198604000-00005"},{"key":"atypb8","first-page":"33","volume":"168","author":"Orloff MJ","year":"1989","journal-title":"Surg Gynecol Obstet"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38487-9"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199008000-00005"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(92)90266-T"},{"key":"atypb12","first-page":"511","volume":"166","author":"Campbell DA","year":"1988","journal-title":"Surg Gynecol Obstet"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80605-1"}],"container-title":["Angiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000331979704800911","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000331979704800911","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:14:12Z","timestamp":1777371252000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000331979704800911"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[1997,9]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[1997,9]]}},"alternative-id":["10.1177\/000331979704800911"],"URL":"https:\/\/doi.org\/10.1177\/000331979704800911","relation":{},"ISSN":["0003-3197","1940-1574"],"issn-type":[{"value":"0003-3197","type":"print"},{"value":"1940-1574","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,9]]}}}