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Meso‐Rex shunt for immediate portal revascularization in pediatric liver transplantation: First report
Author(s) -
Rivera Jairo,
Fusaro Fabio,
de Magnée Catherine,
Clapuyt Philippe,
Reding Raymond
Publication year - 2012
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.1399-3046.2011.01576.x
Subject(s) - medicine , shunt (medical) , revascularization , surgery , liver transplantation , biliary atresia , portal vein , anastomosis , portal vein thrombosis , portacaval shunt , transplantation , superior mesenteric vein , jugular vein , thrombosis , hypoplasia , radiology , portal hypertension , cirrhosis , myocardial infarction
Rivera J, Fusaro F, de Magnée C, Clapuyt P, Reding R. Meso‐Rex shunt for immediate portal revascularization in pediatric liver transplantation: First report.
Pediatr Transplantation 2011. © 2011 John Wiley & Sons A/S. Abstract: We describe the case of a 13‐month‐old girl transplanted for biliary atresia with PV hypoplasia. She received the left liver lobe of her mother and presented intraoperative portal thrombosis. Because of technical reasons, the opportunity to have conventional PV reconstruction using the donor left PV stump was lost. Immediate conversion to a meso‐Rex shunt, using the recipient jugular vein as a bridge between the superior mesenteric vein and the graft Rex recessus, allowed excellent portal revascularization of the transplant. We suggest that synchronous meso‐Rex shunt may constitute a valid alternative to truncal PV anastomosis during pediatric LT.