Document Detail

Utilization of autologous vein graft for replacement of the inferior vena cava in living-donor liver transplantation for obliterative hepatocavopathy.
MedLine Citation:
PMID:  17623051     Owner:  NLM     Status:  MEDLINE    
Obliterative hepatocavopathy (OHC) is a subtype of Budd-Chiari syndrome in which stenosis or obstruction of the retrohepatic inferior vena cava (IVC) is observed. Although IVC replacement is necessary in OHC patients, there are hardly any graft vessels available for IVC reconstruction during living-donor liver transplantation (LDLT). Here, we describe a novel technique of IVC reconstruction using only the autologous blood vessels in an OHC patient during LDLT. In this case, sufficient drainage of the hepatic outflow and reconstruction of the venous return from the lower half of the body were simultaneously required. Therefore, we substituted the retrohepatic IVC with the suprarenal IVC of the recipient, and we reconstructed the IVC continuity by using the autologous internal jugular vein and external iliac vein. The operation was safe, and the postoperative venous drainage from the hepatic tributaries was in good condition. This procedure might be an option for IVC replacement during LDLT.
Masafumi Shimoda; Shigeru Marubashi; Keizo Dono; Atsushi Miyamoto; Yutaka Takeda; Hiroaki Nagano; Koji Umeshita; Morito Monden
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-09
Journal Detail:
Title:  Transplant international : official journal of the European Society for Organ Transplantation     Volume:  20     ISSN:  0934-0874     ISO Abbreviation:  Transpl. Int.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-08     Completed Date:  2007-10-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8908516     Medline TA:  Transpl Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  804-7     Citation Subset:  IM    
Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
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MeSH Terms
Blood Vessels / transplantation
Budd-Chiari Syndrome / surgery*
Iliac Vein / transplantation
Jugular Veins / transplantation
Liver Transplantation / methods*
Living Donors*
Reconstructive Surgical Procedures*
Transplantation, Autologous
Treatment Outcome
Veins / transplantation*
Vena Cava, Inferior / radiography,  surgery*

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