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Portal hyperperfusion injury as the cause of primary nonfunction in a small‐for‐size liver graft‐successful treatment with splenic artery ligation
Author(s) -
Lo ChungMau,
Liu ChiLeung,
Fan SheungTat
Publication year - 2003
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1053/jlts.2003.50081
Subject(s) - medicine , splenic artery , ligation , liver transplantation , surgery , portal venous pressure , artery , transplantation , portal hypertension , gastroenterology , cirrhosis
Dysfunction of a small‐for‐size graft is an important clinical problem after living donor liver transplantation in adults. We report a case of primary nonfunction after a small‐for‐size right lobe living donor liver transplant that was successfully salvaged by reduction of portal pressure and blood flow after splenic artery ligation. The case established portal hyperperfusion injury as a cause of primary nonfunction in a small‐for‐size graft and we recommend that portal pressure be measured when clinical suspicion arises. Splenic artery ligation is a technically simple procedure that can be applied for the prevention or treatment of such injury