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A rare case of complex vascular reconstruction in liver transplantation

โœ Scribed by Vassilios Smyrniotis; Nikolaos Arkadopoulos; Georgia Kostopanagiotou; John Vassiliou; John Contis

Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
64 KB
Volume
11
Category
Article
ISSN
1527-6465

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โœฆ Synopsis

Abnormalities of recipient or donor vascular structures are associated with reconstructive difficulties in liver transplantation. A patient with thrombosis of the right hepatic vein and associated stricture of the inferior vena cava (IVC), portal vein thrombosis and multiple aberrant arteries underwent orthotopic liver transplantation. The donor's suprahepatic IVC was anastomosed to the recipient's intrathoracic IVC. The portal vein flow was restored by venous graft interposition, while the arterial flow was ensured by interposing an iliac arterial graft anastomosed to the infrarenal aorta. In conclusion, graft function remains excellent more than 5 years postoperatively.

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