| Use of an aberrant right hepatic artery arising from the superior mesenteric artery of the recipient for arterial reconstruction in liver transplantation. | |
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MedLine Citation:
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PMID: 21183875 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Our aim was to report a single centre experience of using a recipient's aberrant right hepatic artery (RHA) from the superior mesenteric artery (SMA) to establish inflow into liver allografts. MATERIAL/METHODS: All patients who had arterial reconstruction with an aberrant RHA were identified from a prospective database (1989-2004). Indications and outcomes were evaluated, with particular reference to arterial complications. RESULTS: An aberrant RHA was used in 27/2518 recipients (1%), including 6 paediatric recipients. Indications were replaced CHA (4), hypoplastic CHA (7), atheroma (12), previous conduit (1) and poor post-anastomotic flow (3). After a median of 42 months, arterial complications occurred in 2 paediatric recipients (hepatic artery thrombosis 1; arterial stenosis 1). Four patients developed anastomotic biliary strictures, and one paediatric recipient developed ischaemic cholangiopathy after hepatic artery thrombosis. Two patients underwent retransplantation (one patient with arterial stenosis). 1-year and 5-year patient survival rates were 85% and 81%. There were 6 deaths unrelated to vascular complications. CONCLUSIONS: In adult liver transplant recipients with an unsuitable common hepatic artery, an aberrant right hepatic artery may be used to establish arterial inflow. This technique may be associated with a higher rate of vascular complications in paediatric recipients, and should be used cautiously in this group. |
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Authors:
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Robert P Sutcliffe; Evangelos Lolis; Andreas A Prachalias; Parthi Srinivasan; Mohamed Rela; Mohamed Rela; Nigel D Heaton |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of transplantation : quarterly of the Polish Transplantation Society Volume: 15 ISSN: 1425-9524 ISO Abbreviation: Ann. Transplant. Publication Date: 2010 Oct-Dec |
Date Detail:
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Created Date: 2010-12-24 Completed Date: 2011-04-19 Revised Date: 2012-05-09 |
Medline Journal Info:
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Nlm Unique ID: 9802544 Medline TA: Ann Transplant Country: Poland |
Other Details:
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Languages: eng Pagination: 44-8 Citation Subset: IM |
Affiliation:
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Department of Surgery, Royal London Hospital, Whitechapel Road, London, U.K. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Child, Preschool Female Graft Survival Hepatic Artery / abnormalities, surgery* Humans Infant Liver Transplantation / methods* Male Mesenteric Artery, Superior / surgery* Middle Aged Postoperative Complications Prospective Studies Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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