Alternatives for vascular reconstruction in pediatric living donor liver transplantation
| Autor: | Flavia H. Feier, Renata Pugliese, Paulo Chapchap, Joao Seda Neto, Helry Lopes Cândido, Eduardo A. Fonseca, Mario Kondo, Rodrigo L. Azambuja |
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| Rok vydání: | 2016 |
| Předmět: |
Transplantation
medicine.medical_specialty Kasai procedure Vena cava business.industry Vein graft 030230 surgery medicine.disease Living donor Thrombosis Surgery 03 medical and health sciences 0302 clinical medicine Pediatrics Perinatology and Child Health Vascular reconstruction Renoportal anastomosis medicine 030211 gastroenterology & hepatology business Living donor liver transplantation |
| Zdroj: | Pediatric Transplantation. 20:717-722 |
| ISSN: | 1397-3142 |
| DOI: | 10.1111/petr.12720 |
| Popis: | Many publications discuss the various strategies for vascular reconstruction (VR) in pediatric LDLT. Having knowledge of alternative techniques is helpful in planning transplants. This article presents three case reports that illustrate some of the alternative techniques for HV, PV, and HA reconstruction in pediatric LDLT. It also reviews the available alternative strategies reported for VR in pediatric LDLT. In the first case, a 13-month-old girl presented a PRETEXT III HB with invasion of the retrohepatic vena cava. An LLS graft HV was anastomosed to a DD iliac vein graft and subsequently implanted in a "standard" fashion in the recipient. In the second case, a 44-month-old boy presented with multifocal HB and portomesenteric thrombosis and the portal inflow was done through a renoportal anastomosis. In the third case, a 22-month-old child with a failed Kasai procedure had extensive HA thrombosis. The HA reconstruction was performed with an interposition of the recipient's IMV graft. The use of alternative techniques for VR in pediatric LDLT is paramount to the success of such a complex procedure. Imaging studies can help transplant surgeons outline surgical strategies and define the best technique to be used in each case. |
| Databáze: | OpenAIRE |
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