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Cavoatrial shunt: A graft salvage procedure for suprahepatic caval anastomosis obstruction after liver transplantation
Author(s) -
Eid, Ahmed,
Rahamimov Ruth,
Ilan Yaron,
TurKaspa Ran,
Berlatzky Yacob
Publication year - 1998
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.500040308
Subject(s) - anastomosis , medicine , surgery , shunt (medical) , budd–chiari syndrome , percutaneous , liver transplantation , angioplasty , complication , balloon , inferior vena cava , transplantation , radiology
A liver transplant recipient developed the Budd‐Chiari syndrome because of an obstruction of the suprahepatic inferior vena cava anastomosis. Percutaneous balloon dilatation angioplasty was not feasible. On exploration, dense retrohepatic fibrotic reaction was observed. The patient underwent successful retrohepatic cavoatrial shunt placement by means of a 16‐mm, ring‐enforced polytetrafluoroethylene graft. We conclude that this shunt should be considered an additional graft salvage procedure for this complication.