A new portal-systemic shunt designed to decompress the splanchnic venous circulation when the inferior vena cava is not available has been used in one patient. The shunt involved splenectomy, mobilizing the splenic vein, a left lateral hepatic lobectomy, and end-to-end anastomosis between the splenic and left hepatic veins. Postoperative and clinical evidence of patency was obtained.
Maillard J, Hay J, Elman A, Sicard J. Coexistent Inferior Vena Caval and Portal HypertensionSplenic to Left Hepatic Vein Anastomosis in a Cirrhotic Patient. Arch Surg. 1974;109(6):819-821. doi:10.1001/archsurg.1974.01360060085023