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A rare case of complex vascular reconstruction in liver transplantation
Author(s) -
Smyrniotis Vassilios,
Arkadopoulos Nikolaos,
Kostopanagiotou Georgia,
Vassiliou John,
Contis John
Publication year - 2005
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.20308
Subject(s) - medicine , inferior vena cava , liver transplantation , thrombosis , surgery , portal vein thrombosis , transplantation , vein , aorta , portal vein , radiology
Abnormalities of recipient or donor vascular structures are associated with reconstructive difficulties in liver transplantation. A patient with thrombosis of the right hepatic vein and associated stricture of the inferior vena cava (IVC), portal vein thrombosis and multiple aberrant arteries underwent orthotopic liver transplantation. The donor's suprahepatic IVC was anastomosed to the recipient's intrathoracic IVC. The portal vein flow was restored by venous graft interposition, while the arterial flow was ensured by interposing an iliac arterial graft anastomosed to the infrarenal aorta. In conclusion, graft function remains excellent more than 5 years postoperatively. (Liver Transpl 2005;11:117–118.)