Extra-Anatomic Jump Graft Arterial Reconstruction Using a Great Saphenous Vein Autograft During Living Donor Liver Transplantation
| Autor: | Manas Seisembaev, Bolatbek Baimakhanov, Maksat Doskhanov, Zhassulan Baimakhanov, Aidar Skakbayev, Shokan Kaniev, Dinara Baiguissova, Shayakhmet Makhanbetkhan, Aidana Magauina, Askar Matkerimov, Erbol Serikuly, Almat Chormanov |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Cirrhosis medicine.medical_treatment Dissection (medical) Liver transplantation Transplantation Autologous Hepatic Artery medicine.artery medicine Living Donors Humans Saphenous Vein Vein Aged Transplantation Aorta business.industry Great saphenous vein Middle Aged Plastic Surgery Procedures medicine.disease Surgery Liver Transplantation Aortic Dissection surgical procedures operative medicine.anatomical_structure Female Varices business Vascular Surgical Procedures |
| Zdroj: | Transplantation proceedings. 51(9) |
| ISSN: | 1873-2623 |
| Popis: | Background In living-donor liver transplantation (LDLT), successful microsurgical arterial reconstruction is essential but quite challenging. Dissection of the hepatic artery extending to the celiac trunk is a rare complication during liver transplantation. Kazakhstan is an area in which deceased donor grafts are not sufficient for several reasons, and the availability of graft vessels is limited. Methods We herein report the case of a 65-year-old patient who underwent LDLT due to hepatitis B + D virus-coinfected liver cirrhosis complicated by hepatic artery dissection extending to the celiac trunk. Because of massive gastric collateral varices, direct anastomosis to the supraceliac aorta was not possible. Therefore, extra-anatomic jump graft reconstruction was performed from the right iliac artery to the graft’s hepatic artery using an autologous graft vein (great saphenous vein). Results The patient’s postoperative period was uneventful. The patient was discharged at 27 days post-transplantation. At the time of writing, the follow-up period is 8 months after transplantation, and the recipient maintains a normal liver function. Conclusion When there is no other option for arterial reconstruction, this method is a feasible option for performing extra-anatomic jump graft reconstruction. |
| Databáze: | OpenAIRE |
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