Ectopic placement of Sengstaken-Blakemore device to correct outflow obstruction in liver transplantation: case reports.

Autor: Steinbrück K; Liver Transplantation Unit, Bonsucesso General Hospital/MS, Rio de Janeiro, Brazil. drsteinbruck@yahoo.com.br, Fernandes RA Jr, Enne M, da Silva Gomes Martinho JM, da Silva Alves JA, Pacheco-Moreira LF
Jazyk: angličtina
Zdroj: Transplantation proceedings [Transplant Proc] 2010 Mar; Vol. 42 (2), pp. 597-8.
DOI: 10.1016/j.transproceed.2010.01.048
Abstrakt: Liver transplantation is a complex procedure that has become the treatment for some end-stage liver diseases. Some technical features are important for the success of the transplantation, including the patency of the vascular anastomoses. In cadaveric whole organ liver transplantation, a large right subphrenic space may contribute to a twist of the inferior vena cava, leading to outflow obstruction, simulating an acute Budd-Chiari syndrome. Some devices can be used to correct this drainage problem. Herein, we have described 2 cases in which the Sengstaken-Blakemore balloon was safely used, in an ectopic position, to fix drainage complications in whole liver orthotopic transplantation.
(Copyright (c) 2010 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE