Document Detail

Salvage procedure for unexpected portal vein thrombosis in living donor liver transplantation.
MedLine Citation:
PMID:  16797321     Owner:  NLM     Status:  MEDLINE    
Portal vein thrombosis (PVT) is considered a relative contraindication to living donor liver transplantation (LDLTx) due to technical difficulty and ethical considerations. So far, there have been a few reported cases of LDLTx with PVT, most of which were treated by thrombectomy with or without a venous conduit. We report a case of LDLTx in an unexpected recipient with grade 4 diffuse PVT, which was successfully managed using a variceal left gastric vein and a deceased donor iliac vein conduit to create a "de novo portal vein" for splanchnic inflow to the right lobe. The patient experienced an uneventful postoperative course with normal blood flow in the de novo portal vein at 1-year follow up. This report demonstrated that a variceal collateral vein can be used as appropriate alternative inflow for the right lobe in LDLTx cases in which an unexpected PVT is encountered.
D Maluf; I Shim; M Posner; A H Cotterell; R A Fisher
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  38     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-26     Completed Date:  2006-08-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1422-4     Citation Subset:  IM    
Division of Transplantation Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, Virginia 23298-0248, USA.
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MeSH Terms
Iliac Vein / surgery
Living Donors*
Middle Aged
Nephrectomy / adverse effects*
Portal Vein / surgery*
Salvage Therapy
Stomach / innervation
Thrombosis / etiology,  surgery*
Tissue and Organ Harvesting / adverse effects*
Treatment Outcome

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

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