| Autor: |
Reese, Tim, von Rittberg, York, Oldhafer, Karl J. |
| Zdroj: |
International Journal of Surgery Case Reports; 2020, Vol. 71, p91-94, 4p |
| Abstrakt: |
• A Patient was treated with portal vein arterialization for iatrogenic occlusion of the hepatic artery after pancreatoduodenectomy. • Portal vein arterialization is an old surgical method, which could be helpful to reduce the failure-to-rescue rate of patients with a dearterialised liver. • Portal vein arterialization is a rare but safe technique to supply arterial blood to the liver. Portal Vein Arterialization is a rare procedure for total de-arterialized livers to ensure arterial inflow to the liver. A 55-year-old male patient underwent pancreatoduodenectomy for chronic pancreatitis. One month after discharge the patient was re-admitted because of bleeding from a pseudoaneurysm of the ligated gastroduodenal artery. During radiological intervention a coil dislocated and a complete occlusion of the hepatic artery occurred. Extraction of the coil was not possible, therefore, the patient was transferred to our hospital for surgical revascularization. We performed a side-to-side running anastomosis between a branch of a mesenteric artery and the corresponding vein to supply arterial blood to the liver. The postoperative course was uneventful. Radiologic examinations showed a patent arterio-portal shunt. Portal vein arterialization might be a lifesaving procedure in complication management. PVA is an old surgical method, which could be helpful to reduce the failure-to-rescue rate. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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