| Adult-to-adult living donor liver transplantation in severe portosystemic shunt cases. | |
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MedLine Citation:
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PMID: 18613429 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To date, the need for spontaneous portosystemic shunt division during adult-to-adult living donor liver transplantation (LDLT) remains unknown. This study reports 2 patients with large portosystemic shunts who required LDLT. The first patient was a 40-year-old male with liver cirrhosis due to hepatitis C. The angiogram showed splenosystemic shunts with hepatopetal flow. Shunt occlusion was not performed after implanting a small-size graft because sufficient portal blood flow was observed. On the first postoperative day, portal blood flow was not detected; therefore shunt occlusion was per formed and the portal blood flow was restored. The second patient was a 51-year-old female with primary biliary cirrhosis. Marked collateral circulation with hepatofugal flow was observed. Shunt occlusion was performed after implanting a medium-size graft. Postsurgery, hepatopetal portal blood flow was observed and the postoperative course was satisfactory. These cases demonstrate that large portosystemic shunts should be ligated to maintain adequate portal blood flow that corresponds to the graft volume. |
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Authors:
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Shigeyuki Nagata; Mitsuo Shimada; Yuji Soejima; Takashi Nishizaki; Tomoharu Yoshizumi; Yoshihiko Maehara |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 55 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2008 Mar-Apr |
Date Detail:
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Created Date: 2008-07-10 Completed Date: 2008-12-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 666-9 Citation Subset: IM |
Affiliation:
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Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. geka5@oita-rc-hp.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Collateral Circulation* Female Humans Liver Transplantation / methods* Living Donors* Male Middle Aged Portal System* Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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