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Complicated hepatic vein reconstruction in living donor liver transplantation: Case report and literature review
Author(s) -
Shao Yi,
Zhang Qiyi,
Zhou Shuyang,
Yan Sheng,
Zhou Bo,
Wang Weilin,
Zhang Min,
Shen Yan,
Zheng Shusen
Publication year - 2015
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12068
Subject(s) - medicine , surgery , vein , inferior vena cava , anastomosis , living donor liver transplantation , liver transplantation , thrombus , transplantation , radiology
Hepatic vein reconstruction is one of the crucial issues in living donor liver transplantation ( LDLT ). In the present study, we report on a right liver LDLT excluding middle hepatic vein ( MHV ) using an MHV ‐dominant graft. Two large‐sized inferior right hepatic veins were anastomosed to the recipient's inferior vena cava, respectively, in an end‐to‐side fashion. MHV tributaries were reconstructed using Y ‐shaped cryopreserved iliac artery, but resulted in segment VIII congestion. A F ogarty catheter was then used to take out the thrombus and control the bleeding when anastomosis was being performed. The patient recovered uneventfully. Postoperative computed tomography showed patent interposition grafts and normal perfusion of the liver. The patient was doing well 13 months after transplantation.