Unusual portal reconstructions after liver transplantation - Case report and review of literature

被引：0

作者：

Nemes, B. ^{[1
]}

Goeroeg, D. ^{[1
]}

Fehervari, I. ^{[1
]}

Mandli, T. ^{[1
]}

Sarvary, E. ^{[1
]}

Kobori, L. ^{[1
]}

Doros, A. ^{[1
]}

Fazakas, J. ^{[1
]}

机构：

[1] Semmelweis Univ, Dept Transplantat & Surg, Baross u 23-25, H-1082 Budapest, Hungary

来源：

INTERVENTIONAL MEDICINE AND APPLIED SCIENCE | 2010年 / 2卷 / 03期

关键词：

liver transplantation; Rex-sinus; portal vein thrombosis; shunt; meso-Rex;

D O I：

10.1556/IMAS.2.2010.3.8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Portal vein reconstruction might be a challenge in certain cases of liver transplantation. The problem usually arises due to small vessels in pediatric transplantation and/ or living related donor and split liver transplantation, or as a result of extensive PVT in adult recipients. Authors report a case of a 60-year-old alcoholic cirrhotic patient with reverse portal flow. The standard end to end portal anastomosis did not work well, so a mesoportal shunt with a donor iliac vein conduit was performed first, followed by a cavoportal hemitransposition. After unsuccessful attempts of providing good portal flow, the donor umbilical vein and the iliac conduit was used for portal flow reconstruction as meso-Rex graft. The patient has been doing fine for eight months after her liver transplantation. Unusual types of portal reconstructions consist of meso-portal, umbilico- portal, renoportal anastomoses that are primarily used as rescue techniques. However, it is rare that one has to use them sequentially in the same patient.

引用

页码：131 / 133

页数：3