Complicated hepatic vein reconstruction in living donor liver transplantation: Case report and literature review

Autor:	Weilin Wang, Shu-Yang Zhou, Shusen Zheng, Sheng Yan, Qiyi Zhang, Yan Shen, Yi Shao, Min Zhang, Bo Zhou
Rok vydání:	2015
Předmět:	medicine.medical_specialty business.industry Anastomosis medicine.disease Inferior vena cava Surgery Transplantation medicine.anatomical_structure medicine.vein cardiovascular system medicine Radiology Thrombus Vein reconstruction Living donor liver transplantation Vein business Perfusion
Zdroj:	Surgical Practice. 19:35-39
ISSN:	1744-1625
DOI:	10.1111/1744-1633.12068
Popis:	Hepatic vein reconstruction is one of the crucial issues in living donor liver transplantation (LDLT). In the present study, we report on a right liver LDLT excluding middle hepatic vein (MHV) using an MHV-dominant graft. Two large-sized inferior right hepatic veins were anastomosed to the recipient's inferior vena cava, respectively, in an end-to-side fashion. MHV tributaries were reconstructed using Y-shaped cryopreserved iliac artery, but resulted in segment VIII congestion. A Fogarty catheter was then used to take out the thrombus and control the bleeding when anastomosis was being performed. The patient recovered uneventfully. Postoperative computed tomography showed patent interposition grafts and normal perfusion of the liver. The patient was doing well 13 months after transplantation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::7b2a796bcaf45b220fcc07737191c100 https://doi.org/10.1111/1744-1633.12068 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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