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Portal vein arterialization using an accessory right hepatic artery in liver transplantation
Author(s) -
Paloyo Siegfredo,
Nishida Seigo,
Fan Ji,
Tekin Akin,
Selvaggi Gennaro,
Levi David,
Tzakis Andreas
Publication year - 2013
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.23653
Subject(s) - medicine , portal vein thrombosis , liver transplantation , anastomosis , surgery , cirrhosis , thrombosis , portal vein , vein , artery , portal venous pressure , transplantation , portal hypertension
Portal vein thrombosis remains to be a challenging issue during liver transplantation even with the acquisition of innovative surgical techniques and years of experience. Most frequently, an initial eversion thromboendovenectomy is performed and depending on the extent of thrombosis and intraoperative findings, further revascularization options include venous jump grafts, portocaval hemitransposition, renoportal anastomosis or portal vein arterialization. Reports on these surgical approaches are limited although with acceptable outcomes. We present a 64‐year‐old patient with hepatitis C cirrhosis who underwent orthotopic liver transplantation with portal vein arterialization using an accessory right hepatic artery. Liver graft function has remained stable four years after transplant with notable aneurysmal dilatation of the portal vein. Liver Transpl 19:773–775, 2013 . © 2013 AASLD.