A 27-year-old @entity1 had a 10-month history of recurrent @entity843 , massive @entity4 , and extreme fatigue. The diagnosis of @entity3181 with severe @entity850 of the retrohepatic part of the inferior caval vein had been established. Medical treatment had failed to prevent further deterioration. A single 14 mm Gore-Tex graft (W.L. Gore _ Associates, Inc. Elkton, Md.) was used to establish a cavosplenoatrial shunt. The postoperative recovery was uneventful. All signs of @entity843 and @entity4 disappeared within 8 weeks after surgery. In connection with repair of a @entity4037 8 months later, a liver biopsy specimen revealed partial normalization of liver histology and an angiography demonstrated a patent shunt. Two and a half years after the initial operation he developed a bleeding peptic ulcer demanding emergency surgery. The shunt was again found patent. Three years after the first operation the @entity1 is free of symptoms and working full time.

XXXX with obstruction of the inferior caval vein: successful treatment by cavosplenoatrial shunt.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity843 :: ('MESH:D001201', 'Disease') :: ['ascites'] @entity3181 :: ('MESH:D006502', 'Disease') :: ['Budd-Chiari syndrome'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia']
@entity3181 :: (MESH:D006502,Disease) :: ['Budd-Chiari syndrome']
