Document Detail

Double Arterial Anastomosis in Liver Transplantation: Is Two Better than One?
MedLine Citation:
PMID:  23371309     Owner:  NLM     Status:  Publisher    
Arterial revascularization during liver transplantation is normally achieved by anastomosing the graft hepatic artery to the largest artery available at the recipient pedicle-either the common hepatic artery (CHA) or an accessory right hepatic artery (RHA) originating from the superior mesenteric artery (SMA). When a small caliber RHA is present, the artery is ligated and a single anastomosis with the CHA is performed. In the absence of a vascular reconstruction of the graft, the gastroduodenal artery is usually ligated as well. In this article, we describe a new type of arterial anastomosis in the case of a small accessory RHA and/or severe graft hepatic artery atherosclerosis that is commonly seen in elderly donors. To our knowledge, these are the first cases reported in the literature. This technique can be easily performed without increasing the arterial revascularization time or increasing the risk of complications associated with arteriosclerotic arteries. A 12-month follow-up revealed excellent function of the liver grafts.
Fabrizio Panaro; John Chauvat; Jean-Pierre Carabalona; Stephanie Nougaret; Hassan Bouyabrine; Jean-Pierre Marchand; Francis Navarro
Related Documents :
24292899 - Rabbit hepatic arterial anatomy variations: implications on experimental design.
9728239 - Vasa vasorum of the intracranial arteries.
19365129 - Association between cerebral arterial calcification and brachial-ankle pulse wave veloc...
17456649 - Cerebral oxygen desaturation after cardiopulmonary bypass in a patient with raynaud's p...
9716789 - Mra as a primary screening technique for intra- and extracranial arterial occlusive dis...
16498219 - Middle cerebral artery occlusion associated with acute myocardial infarction in the per...
4434289 - Recognition and management of embolism to the superior mesenteric artery.
16205849 - Aneurysm diameter and proximal aortic neck diameter influence clinical outcome of endov...
18346569 - Endovascular repair of a ruptured descending thoracic aortic aneurysm in a patient with...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-31
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  -     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-2-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of General and Liver Transplant Surgery, Hôpital Saint Eloi, University of Montpellier, School of Medicine, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5, France,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Impact of Macroscopic Morphology, Multifocality, and Mucin Secretion on Survival Outcome of Intraduc...
Next Document:  Limitation of indocyanine green fluorescence in identifying sentinel lymph node prior to skin incisi...