American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2001
Rescue of acute portal vein thrombosis after liver transplantation using a cavoportal shunt at re-transplantation.
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Bakthavatsalam R, Marsh C L, Perkins J D, Levy A E, Healey P J, Kuhr C S
Аннотация
BACKGROUND: Portal vein thrombosis is a rare but devastating complication following orthotopic liver transplantation. Fulminant liver failure ensues with acute portal vein thrombosis after transplantation limiting the treatment options.
METHODS: We successfully re-transplanted a 46-year-old female patient who developed acute portal vein thrombosis 19 d after orthotopic liver transplantation. Vascular reconstruction included a cavoportal shunt to augment portal blood flow.
RESULTS: Twelve months after re-transplantation this patient lives independently and enjoys excellent liver allograft function.
CONCLUSIONS: Cavoportal shunt can augment portal blood flow in adult recipients of orthotopic liver transplants. This technique can be successfully employed during re-transplantation when portal blood flow is inadequate to maintain patency.
METHODS: We successfully re-transplanted a 46-year-old female patient who developed acute portal vein thrombosis 19 d after orthotopic liver transplantation. Vascular reconstruction included a cavoportal shunt to augment portal blood flow.
RESULTS: Twelve months after re-transplantation this patient lives independently and enjoys excellent liver allograft function.
CONCLUSIONS: Cavoportal shunt can augment portal blood flow in adult recipients of orthotopic liver transplants. This technique can be successfully employed during re-transplantation when portal blood flow is inadequate to maintain patency.