Abstract：
In some specific cases, the surgical technique involved in liver transplantation can be challenging, as, for example, in cases of Budd-Chiari syndrome. This case describes a case of liver transplantation in a patient diagnosed with Budd-Chiari syndrome due to a previous surgery that required retrohepatic vena cava resection. During the liver transplantation procedure, a cavo-atrial anastomosis was performed through transdiaphragmatic access, with a good postoperative result, showing that, although challenging, this technique is a feasible option in specific cases.
摘要：
在某些特定情况下,肝移植的手术技术具有挑战性，as,例如,在Budd-Chiari综合征的病例中。该病例描述了一例由于先前的手术需要肝后腔静脉切除而被诊断为Budd-Chiari综合征的患者的肝移植病例。在肝移植过程中,腔静脉-心房吻合术通过横膈通路进行,术后效果良好，证明这一点，虽然具有挑战性，这种技术在特定情况下是可行的选择。
