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Arterial anastomosis in a pediatric patient receiving a right extended split liver transplant: A case report
Author(s) -
Verzaro Roberto,
Spada Marco,
Cintorino Davide,
Di Francesco Fabrizio,
Riva Silvia,
Caruso Settimo,
Gridelli Bruno
Publication year - 2009
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 - 10.1111/j.1399-3046.2008.01004.x
Subject(s) - medicine , anastomosis , splenic artery , revascularization , artery , liver transplantation , surgery , common hepatic artery , radiology , cardiology , transplantation , myocardial infarction
We report a case of a pediatric patient who received a right‐extended liver transplant. The size of the recipient hepatic artery did not match with the donor right hepatic arterial stump. Moreover, recipient arterial anatomy made the direct anastomosis difficult or at increased risk for complications. The recipient’s splenic artery was then mobilized, divided and anastomosed to the donor’s right hepatic artery. The spleen was preserved and revascularization through collaterals is demonstrated by Angio CT Scan. Doppler US of the transplanted liver demonstrated good flow through the liver and the patient was discharged with perfect liver function. Splenic artery is perfectly suited for hepatic artery anastomosis. The use of splenic artery is favored in particular situations as in the case of a pediatric recipient receiving a right‐extended liver graft with small caliber artery.