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Endovascular management of early portal vein thrombosis caused by coronary vein steal after liver transplantation and its outcome
Author(s) -
Koo Bon Yong,
Yu Hee Chul,
So Min Cheol,
Jin Guang Yu,
Kwak Hyo Sung,
Cho Baik Hwan
Publication year - 2008
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2008.00822.x
Subject(s) - medicine , coronary vein , liver transplantation , portal vein thrombosis , surgery , percutaneous , complication , thrombosis , portal vein , vein , artery , orthotopic liver transplantation , splenectomy , transplantation , radiology , cardiology , spleen , coronary sinus
Early portal vein thrombosis (PVT), after orthotopic liver transplantation (OLT), is relatively uncommon and is a serious complication that can compromise graft and patient survival. The factors predisposing to PVT after OLT include rejection, technical problems during the surgery, use of vein grafts and conduits, preoperative PVT, previous portasystemic shunts and splenectomy, hypercoagulable state, and significant development of gastroesophageal collaterals. Among them, few cases of PVT caused by coronary vein (CV) steal after OLT have been reported. Herein, we present a case with early PVT caused by CV steal after OLT, which is treated by a percutaneous transportal approach, with a review of the relevant literature.