Portal vein stenting the first day after orthotopic liver transplantation for residual postthrombotic stenosis compromising portal flow.

BACKGROUND: Early portal vein impairment or thrombosis after liver transplantation is a significant risk factor for graft failure. CASE: Here, we describe a case of severe portal hypoperfusion after thrombectomy during liver transplantation that was treated with percutaneous stenting on the first postoperative day. Stenting was combined with embolization of varices and normalized portal inflow. RESULT: Liver function and portal flow were normal after 1 year of follow-up. CONCLUSION: This case demonstrates that percutaneous stenting is a safe and feasible therapeutic option even in the initial days after liver transplantation.