Abstract:
Background. Living-donor liver transplantation with inferior vena cava resection and
reconstruction is rarely indicated for Budd-Chiari syndrome. The aim of this case
presentation was to present and discuss the inferior vena cava reconstruction with the use
of cadaveric aortic allograft after resection of the suprahepatic inferior vena cava in a
patient with Budd-Chiari syndrome who was treated with living-donor liver transplantation.
Case Report. A 29-year-old male patient with end-stage liver disease and suprahepatic
inferior vena cava obstruction was referred to our center. He was scheduled for living-donor
liver transplantation. The suprahepatic inferior vena cava was resected and reconstruction
was achieved by means of interposition of the cadaveric aortic allograft between the right
atrium and inferior vena cava. Postoperative course was uneventful.
Discussion. Liver transplantation and vena cava reconstruction is indicated in some
patients with end-stage liver disease and Budd-Chiari syndrome. Limitations in cadaveric
organ donation may be compensated for with the use of living-donor liver. In this
condition, various aspects of inferior vena cava reconstruction may be discussed.
Conclusions. Budd-Chiari syndrome due to suprahepatic inferior vena cava obstruction
close to the right atrium may be treated with vascular reconstruction with the use of a
cadaveric aortic allograft.