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Use of the breast implant for liver graft malposition
Author(s) -
Mera Santiago,
Santoyo Julio,
Suárez Miguel Angel,
Bondía José Antonio,
Cabello Antonio Jes,
Jiménez Manuel,
Ribeiro Marta,
FernándezAguilar José Luis,
PérezDaga José Antonio,
de la Fuente Agustín
Publication year - 1999
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.500050604
Subject(s) - medicine , implant , cirrhosis , liver transplantation , surgery , breast implant , graft rejection , breast reconstruction , transplantation , breast cancer , cancer
Transplantation of a small liver into a large patient may cause problems with correct reperfusion of the graft because of torsion of the hepatic pedicle, leading to malfunction of the transplanted organ. We describe the case of a 60‐year‐old man with alcoholic cirrhosis and hepatitis B virus who received a small‐sized liver graft. Owing to the lack of adequate reperfusion of the transplanted organ arising from pedicular kinking caused by disparate sizes, a breast implant was placed behind the graft as a means of support, thereby resolving the problem. The use of prosthetic materials for the correct placement of grafts with size incongruity is also discussed, and the literature is reviewed.