Document Detail

Successful percutaneous pulse spray thrombolysis of extensive acute portocaval hemitransposition thrombosis.
MedLine Citation:
PMID:  17018131     Owner:  NLM     Status:  MEDLINE    
We report a case of extensive acute thrombosis of portal vein and cava in a portocaval hemitransposition liver graft that was treated successfully with percutaneous pulse spray thrombolysis through a femoral vein access. The patient subsequently developed descending and sigmoid colon ischemic necrosis because of the venous thrombosis necessitating emergency colon resection. The patient had prolonged postoperative intensive care stay, but was eventually discharged in a good condition with normal liver function. Three month follow up demonstrated persistent normalization of hepatic function and normal duplex ultrasound.
Hani H Haider; Tatiana Froud; Jang Moon; Gennaro Selvaggi; Seigo Nishida; Pablo Bejarano; Andreas G Tzakis
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Transplant international : official journal of the European Society for Organ Transplantation     Volume:  19     ISSN:  0934-0874     ISO Abbreviation:  Transpl. Int.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-04     Completed Date:  2007-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908516     Medline TA:  Transpl Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  941-4     Citation Subset:  IM    
Department of Surgery, Miller School of Medicine, University of Miami, FL 33136, USA.
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MeSH Terms
Acute Disease
Colon / pathology,  surgery
Liver Transplantation / adverse effects*,  pathology
Middle Aged
Portal Vein / pathology,  surgery
Postoperative Complications / therapy*
Thrombolytic Therapy / methods*
Treatment Outcome
Vascular Surgical Procedures
Vena Cava, Inferior / pathology,  surgery
Venous Thrombosis / therapy*

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