【摘要】 报告一例曾接受过脾肺固定术的布加综合征病例，因终末期肝硬化，下腔静脉阻塞而行原位肝移植术。术野局部粘连严重，侧支丰富，特别是第二肝门解剖困难，采用右房肝上下腔静脉吻合术，重建下腔静脉通道。行髂总静脉、门静脉至右房插管转流，使用ＷＭＯ液保存供肝５小时４５分。完成手术后肝血液循环良好，当天即有胆汁排出。术后第１３天死于肝排斥反应及肝动脉栓塞，肝、肾功能衰竭更多还原

【Abstract】 One case of Buddchiari syndrome with endstage cirrhosis, who received plenopneumopexy 4 years ago, underwent an orthotopic liver transplantation. The donor liver was preserved with WMO solution for 5 h and 45 min. Because of the second hepatic portal difficult to be dissected, local adhesion and overgrowth of collateral branch, the venovenous bypass was applied during operation. The inferior vena cava and the right atrium weree anastomosed to establish a passage of the inferior vena cava. The patient died of liver rejection, embolism of the liver artery and renal failure and liver failure at th postoperative day 13.更多还原