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Liver transplantation in the presence of situs inversus totalis: Application of reduced‐size graft
Author(s) -
Kawamoto Shunji,
Strong Russell W.,
Lynch Stephen V.,
Ong Tat Hin,
Pillay S. Praga,
Yamanaka Junichi,
Balderson Glenda A.
Publication year - 1995
Publication title -
liver transplantation and surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1074-3022
DOI - 10.1002/lt.500010106
Subject(s) - situs inversus , medicine , anastomosis , transplantation , liver transplantation , surgery , biliary atresia
Abstract Because of the anatomical features associated with situs inversus, technical difficulties will be encountered during orthotopic liver transplantation. This report describes the case of a patient with situs inversus totalis and end‐stage liver disease from biliary atresia who was treated by segmental orthotopic liver transplantation. The segmental graft was safely placed in the left subphrenic space, and a suitable orientation was obtained for anastomoses of the hilar vessels. Chronic rejection necessitated retransplantation, by the same method, 19 months later. This technique has potential advantages in coping with anatomical obstacles encountered in patients with situs inversus. Copyright © 1995 by the American Association for the Study of Liver Diseases.