Premium
Isolated right hepatic vein obstruction after piggyback liver transplantation
Author(s) -
Aucejo Federico,
Winans Charles,
Henderson J. Michael,
Vogt David,
Eghtesad Bijan,
Fung John J.,
Sands Mark,
Miller Charles M.
Publication year - 2006
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.20747
Subject(s) - medicine , liver transplantation , anastomosis , ascites , surgery , hepatic veins , vein , budd–chiari syndrome , transplantation , stent , inferior vena cava , angioplasty , radiology
The “piggyback” technique for liver transplantation has gained worldwide acceptance. Still, complications such as outflow obstruction have been observed, usually attributable to technical errors such as small‐caliber anastomosis of the suprahepatic vena cava, twisting, or kinking. Iatrogenic Budd‐Chiari syndrome after piggyback liver transplantation has been reported as a consequence of obstruction involving the entire anastomosis (usually the 3 hepatic veins). Here we describe technical issues, clinical presentation, diagnosis, and treatment of 3 cases in which outflow obstruction affected only the right hepatic vein. In conclusion, all 3 patients developed recurrent ascites requiring angioplasty and/or stent placement across the right hepatic vein to alleviate the symptoms. Liver Transpl 12:808–812, 2006. © 2006 AASLD.