Liver transplantation for the Budd-Chiari syndrome

Glenn Halff, Satoru Todo, Andreas G. Tzakis, Robert D. Gordon, Thomas E. Starzl

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153 Scopus citations

Abstract

A retrospective study was performed that analyzed 23 patients who had an orthotopic liver transplantation for the Budd-Chiari syndrome with end-stage liver disease. Patient follow-up was as long as 14 years. The technical considerations relevant to the Budd-Chiari syndrome were discussed. There have been no serious complications of postoperative anticoagulation. Three patients, all of whom died, had recurrence of the Budd-Chiari syndrome. No other patient has had evidence of recurrent Budd-Chiari syndrome on postoperative liver biopsies. One-, 3-, and 5-year actuarial survival was 68.8%, 44.7%, and 44.7%, respectively. It was concluded that orthotopic liver transplantation is the most effective treatment for patients with the Budd-Chiari syndrome and end-stage liver disease.

Original languageEnglish (US)
Pages (from-to)43-49
Number of pages7
JournalAnnals of surgery
Volume211
Issue number1
DOIs
StatePublished - Jan 1 1990

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ASJC Scopus subject areas

  • Surgery

Cite this

Halff, G., Todo, S., Tzakis, A. G., Gordon, R. D., & Starzl, T. E. (1990). Liver transplantation for the Budd-Chiari syndrome. Annals of surgery, 211(1), 43-49. https://doi.org/10.1097/00000658-199001000-00007