Surgical Treatment of Budd-Chiari Syndrome

Reduction of the high intrahepatic, inferior vena cava and portal vein pressure with:
•	Removal of membranous obstruction of the suprahepatic inferior vena cava
•	percutaneous balloon angioplasty
•	surgical membranotomy techniques;
•	Surgical shunting of portal blood into the systemic circulation
•	mesocaval shunt
•	side-to-side portacaval shunt
•	mesoatrial shunt (if high-grade caval obstruction)
•	Intrahepatic portosystemic stent
•	transjugular intrahepatic portosystemic shunt