Rescue of acute portal vein thrombosis after liver transplantation using a cavoportal shunt at re-transplantation.
Am J Transplant
; 1(3): 284-7, 2001 Sep.
Article
in En
| MEDLINE
| ID: mdl-12102263
ABSTRACT
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.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Portal Vein
/
Portacaval Shunt, Surgical
/
Liver Transplantation
/
Venous Thrombosis
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Am J Transplant
Journal subject:
TRANSPLANTE
Year:
2001
Document type:
Article
Affiliation country:
Estados Unidos