Premium
Living donor liver transplantation as a means of rescuing post‐embolization hepatic failure in a patient with idiopathic intrahepatic arteriovenous malformation in the liver
Author(s) -
Nishimori Aya,
Okajima Hideaki,
Okumura Kenji,
Yoneyama Tetsushi,
Takeichi Takayuki,
Asonuma Katsuhiro,
Ikeda Osamu,
Inomata Yukihiro
Publication year - 2009
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-008-0032-z
Subject(s) - medicine , embolization , liver transplantation , hepatic artery embolization , arteriovenous malformation , artery , transplantation , adverse effect , interventional radiology , surgery , radiology
Interventional radiology used to be a first‐line treatment for cardiac failure caused by idiopathic hepatic arteriovenous malformation (AVM). Here, we report a 64‐year‐old male patient treated by living donor liver transplantation (LDLT) following failed hepatic artery embolization for idiopathic hepatic AVM. Hepatic artery reconstruction in LDLT was very difficult in this case due to the adverse effects of the pre‐transplant intervention. In the treatment of widespread AVM in the liver, arterial embolization should be avoided and primary liver transplantation should be considered.