Document Detail

Small-for-size syndrome secondary to outflow block of the segments V and VIII anastomoses--successful treatment with trans-splenic artery embolization: a case report.
MedLine Citation:
PMID:  17580225     Owner:  NLM     Status:  MEDLINE    
Despite the rapid expansion of living donor liver transplantation (LDLT) in the adult population over the last few years, small-for-size syndrome (SFSS) has emerged as an important clinical problem. We have herein reported a patient who developed clinical evidence of prolonged cholestasis and intractable ascites after a small-for-size right lobe LDLT. The SFSS was attributed to outflow block of segments V and VIII anastomoses with severe portal overperfusion injury. It was successfully treated by reduction of portal pressure and blood flow after trans-splenic arterial ligation. We recommend that trans-splenic artery embolization, a technically simple procedure, be applied to treat portal overperfusion injury in SFSS.
L Yan; W Wang; Z Chen; W Lu; Q Lu; W Cheng; T Wen; M Xu; J Yang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  39     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-20     Completed Date:  2007-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1699-703     Citation Subset:  IM    
Liver Transplantation Division, Department of Surgery, West China Hospital, Sichuan University Medical School, Chengdu, China 610041.
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MeSH Terms
Anastomosis, Surgical / adverse effects*
Balloon Occlusion*
Liver / anatomy & histology*
Liver Transplantation / adverse effects*
Living Donors
Spleen / blood supply*

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