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Modified temporary end‐to‐side portocaval shunt in liver and small bowel transplantation
Author(s) -
Molmenti Ernesto P.,
Marsh J. Wallis,
Molmenti Hebe,
Reyes Jorge,
Fung John J.
Publication year - 2001
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1034/j.1399-3046.2001.00017.x
Subject(s) - medicine , liver transplantation , shunt (medical) , transplantation , portacaval shunt , surgery , portal hypertension , cirrhosis
Piggyback orthotopic liver transplantation (LTx) has permitted the elimination of extra‐corporeal venovenous bypass. In some instances, an internal temporary portocaval shunt has to be constructed in order to prevent hemodynamic instability. We describe a technique in which a donor iliac vein graft is used to bridge the distance between the portal vein and vena cava in cases where a direct shunt cannot be constructed. This technique can be applied to liver Tx as well as to liver and small bowel Tx.