Impossible Yet Possible-Orthotopic Liver Transplantation in a Patient With Complete Portal Vein Thrombosis: A Case Report and Literature Review.

Autor: Mrożek A; Students' Scientific Club of Vascular, General and Transplant Surgery, Wroclaw Medical University, Wroclaw, Poland. Electronic address: andrzej.mrozek@student.umw.edu.pl., Dziekiewicz A; Students' Scientific Club of Vascular, General and Transplant Surgery, Wroclaw Medical University, Wroclaw, Poland; Students' Scientific Club of General, Endocrine, and Minimally Invasive Surgery, Wroclaw Medical University, Wroclaw, Poland., Moskwa N; Students' Scientific Club of Vascular, General and Transplant Surgery, Wroclaw Medical University, Wroclaw, Poland., Janczak SD; Students' Scientific Club of Vascular, General and Transplant Surgery, Wroclaw Medical University, Wroclaw, Poland., Bogda JF; Students' Scientific Club of Vascular, General and Transplant Surgery, Wroclaw Medical University, Wroclaw, Poland., Rychter M; Students' Scientific Club of General, Endocrine, and Minimally Invasive Surgery, Wroclaw Medical University, Wroclaw, Poland., Patrzałek D; Clinic of Vascular, General and Transplant Surgery, Wroclaw Medical University, Wroclaw, Poland., Janczak D; Clinic of Vascular, General and Transplant Surgery, Wroclaw Medical University, Wroclaw, Poland.
Jazyk: angličtina
Zdroj: Transplantation proceedings [Transplant Proc] 2024 May; Vol. 56 (4), pp. 1006-1012. Date of Electronic Publication: 2024 Apr 24.
DOI: 10.1016/j.transproceed.2024.03.032
Abstrakt: This case study presents a liver transplantation (LT) in a patient with incidentally, intraoperatively detected complete portal vein thrombosis (PVT), classified as YERDEL stage 4, challenging traditional surgical boundaries. The patient's resilience and the innovative approach adopted by the surgical team exemplify the evolving complexities of LT in the context of advanced PVT. This report underscores the significance of detailed case documentation in medical literature, especially for complex transplant scenarios. It contributes to a broader understanding of surgical techniques and patient-centered approaches in LT. The narrative highlights the dynamic interplay between surgical advancements and vascular complications, advocating for the refinement of surgical methods and a reevaluation of conventional perspectives in transplantation. This case is pivotal in illustrating medical progress and the persistent pursuit of better outcomes in complex transplant situations.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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