Document Detail


Splenic artery steal syndrome after liver transplantation: an alternative technique of embolization.
MedLine Citation:
PMID:  19545776     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arterial steal syndrome after orthotopic liver transplantation (OLT) is characterized by arterial hypoperfusion of the graft, which is caused by a shift in blood flow into the splenic or gastroduodenal arteries. It causes hepatic hypoperfusion with attendant clinical manifestations of elevated liver function enzymes, allograft dysfunction, and cholestasis. Left untreated, the condition has a significant potential risk for postoperative morbidity and graft loss. Herein we have reported the case of a 68-year-old woman who developed splenic artery steal syndrome (SASS) after deceased donor liver transplantation. She was diagnosed by duplex Doppler ultrasonography and celiac trunk angiography, and subsequently treated with splenic artery embolization.
Authors:
C X Lima; A Mandil; A C Ulhoa; A S Lima
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  41     ISSN:  1873-2623     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-23     Completed Date:  2009-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1990-3     Citation Subset:  IM    
Affiliation:
Hospital Felicio Rocho, Liver Transplantation Unit, Minas Gerais, Brazil. cxlima@globo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bilirubin / blood
Embolization, Therapeutic / methods*
Female
Hepatic Artery / pathology
Humans
Liver Cirrhosis, Biliary / surgery*
Liver Failure, Acute / surgery
Liver Transplantation / adverse effects*
Male
Postoperative Complications / pathology*
Splenic Artery / pathology*,  surgery*
Treatment Outcome
Chemical
Reg. No./Substance:
635-65-4/Bilirubin

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


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