TITLE:
The Mesenteric-Caval Fistula: First Results of a New Technique in a Transperitoneal Reconstruction of the Caval Vein by Fulminant Thrombosis of the Inferior Vena Cava Based on Homozygous Antithrombin III-Deficiency
AUTHORS:
Justus Gross, Rainer Petzina, Rouven Berndt, Bernd Panholzer, Andreas Bayer, Katharina Huenges, Leonie Aschauer, Jochen Cremer, Rene Rusch
KEYWORDS:
Mesenteric-Caval Fistula, Thrombosis, Transperitoneal Reconstruction, Homozygous Antithrombin III-Deficiency
JOURNAL NAME:
Surgical Science,
Vol.7 No.8,
August
12,
2016
ABSTRACT: Recurrent thrombotic occlusions are one major
problem in patients with thrombosis of the inferior vena cava. Due
to this, we report a new surgical strategy for the construction of
aorto-caval (mesenteric-caval)
fistula in a patient with homozygous Antithrombin III (ATIII)-Deficiency. The patient survived postoperatively and only surgical complications grade I and II
(Clavien-Dindo classification) were
reported after short-term and one year follow-up. After one year, the
CT-angiography did not show any caval thrombosis or stenosis and no restriction
or occlusion of the fistula. Thus, the mesenteric-caval fistula could be safely performed and resulted in a satisfactory patency.