Document Detail


The unrecognized posterior gastric artery: a potential cause of surgical complications in pancreas transplantation.
MedLine Citation:
PMID:  15016139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Our report describes, for the first time, a pre-transplant vascular complication in a pancreas graft related to the posterior gastric artery - a major, but relatively unknown side branch of the splenic artery. The posterior gastric artery that was overlooked by a surgical procurement team during donor pancreatectomy led to distortion of the peripancreatic vascular anatomy and set the stage for a splenic artery injury. METHODS: We identified the transected, partially resected graft splenic artery during backtable preparation of the pancreas, and repaired it using standard vascular surgical techniques. RESULTS: The recipient's post-operative course was uncomplicated. At 9-yr post-transplant, the recipient is alive with good pancreas graft function. CONCLUSIONS: The relevance of the posterior gastric artery with regard to general surgical procedures was only recently recognized. Our case demonstrates that the posterior gastric artery is also important in transplant surgery. Awareness of this anatomical structure during organ procurement would help minimize pre-transplant vascular complications.
Authors:
Christoph Troppmann; Jacques Pirenne; Richard V Perez; Rainer W G Gruessner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical transplantation     Volume:  18     ISSN:  0902-0063     ISO Abbreviation:  Clin Transplant     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-03-12     Completed Date:  2004-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8710240     Medline TA:  Clin Transplant     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  214-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, UC Davis Medical Center, University of California, Sacramento, CA, USA. christoph.troppmann@ucdmc.ucdavis.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Anastomosis, Surgical
Arteries / anatomy & histology
Humans
Male
Middle Aged
Pancreas Transplantation*
Splenic Artery / anatomy & histology,  surgery
Stomach / blood supply*
Tissue Donors*
Tissue and Organ Harvesting

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


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