Open AccessPortal vein arterialization technique for liver transplantation patients
Author(s) -
Kun Zhang,
Yi Jiang,
Lizhi Liu,
Qiucheng Cai,
Fang Yang,
Huanzhang Hu,
Xiaojin Zhang
Publication year - 2014
Publication title -
world journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v20.i34.12359
Subject(s) - medicine , right gastric vein , portal venous pressure , portal vein , liver transplantation , cirrhosis , vein , artery , fibrous capsule of glisson , perfusion , surgery , liver function , portal vein thrombosis , transplantation , portal hypertension , radiology
Liver transplantations were performed on two patients with hepatic failure caused by liver cirrhosis. Hard obsolete thrombi and portal venous sclerosis were observed in the major portal veins of both patients. The arteria colica media of one recipient and the portal vein of the donor were anastomosed end-to-end. The hepatic artery of the first donor was anastomosed end-to end with the gastroduodenal artery of the first recipient; meanwhile, the portal vein of the second donor was simultaneously anastomosed end- to-end with the common hepatic artery of the second recipient. The blood flow of the portal vein, the perfusion of the donor liver and liver function were satisfactory after surgery. Portal vein arterialization might be an effective treatment for patients whose portal vein reconstruction was difficult.