[Incidence and clinical manifestations of arterial complications of liver transplantation. Personal experience with 57 transplants].
The vascular complication remains one of the main cause of graft failure after orthotopic liver transplantation (OLT). Its incidence has been documented between 5-18%. Due to its lethal evolution, the early diagnosis and emergency treatment are crucial: early retransplantation, arterial reconstruction. Seven out of 57 OLT (12.2%) performed in 53 patients developed arterial complications: 4 arterial thrombosis (7.0%),--3 were retransplanted--; 3 ruptured arterial aneurysms and 1 child who developed hemobilia secondary to an arterio-biliary fistula. The clinical presentation of hepatic artery thrombosis was related with the post-transplant time. Due to the variability in the clinical presentation of this complication, angiographic study should be performed in any episode of unexplained graft dysfunction.
Cienfuegos
J A
JA
Departamento de Cirugía General, Clínica Universitaria, Universidad de Navarra.
Pardo
F
F
D000293:Adolescent; D000328:Adult; D001158:Arteries; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D016031:Liver Transplantation; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000453:epidemiology; D014652:Vascular Diseases / Q000175:diagnosis* / Q000453:epidemiology
Incidencias y manifestaciones clínicas de las complicaciones arteriales en el trasplante hepático. Experiencia personal en 57 trasplantes.