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Reno‐ and splenoportal anastomosis for a retransplant patient with situs inversus
Author(s) -
Uchida Hajime,
Fukuda Akinari,
Sasaki Kengo,
Shigeta Takanobu,
Hirata Yoshihiro,
Kanazawa Hiroyuki,
Mali Vidyadhar Padmakar,
Miyazaki Osamu,
Nosaka Shunsuke,
Sakamoto Seisuke,
Mureo Kasahara
Publication year - 2016
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/petr.12703
Subject(s) - medicine , situs inversus , surgery , anastomosis , thrombosis , complication , population , environmental health
Abstract PV thrombosis following pediatric LT is a serious complication that may lead to graft loss. LDLT poses limitations with regard to the availability of vein grafts for complex PV reconstructions. We herein report a unique reconstruction of the PV inflow in a one‐yr‐old boy with situs inversus undergoing re‐ LDLT . The inflow was derived from the SPV and the RRV. A common channel was created utilizing a donor IMV and the recipient explant LHV as vascular conduits. With the application of innovative surgical reconstructions, pre‐existing portomesenteric thrombosis may be amenable to re‐ LDLT in the pediatric population.