[Liver transplantation and portal thrombosis].
One hundred and thirty-eight transplants were performed between April 1986 and June 1990 in 116 patients of whom 9 (7.75%) were affected by liver cirrhosis complicated by portal vein thrombosis. Occlusion of the vascular lumen was total in 3 cases, semitotal in 1 case and the percentage of obstruction ranged between 25% and 75% in the remaining patients. Venous dissection and thrombectomy were performed in 6 cases and simple thrombectomy in 3 cases in order to obtain a satisfactory blood flow. Anastomosis was effected using the spleno-mesenteric confluence in 2 cases and the portal vein itself in other patients. Recurrent thrombosis occurred in the first 4 patients in the series, but it was only fatal in 2 cases. The paper analyses the data obtained from the study and in conclusion confirms the use of transplant in cirrhotic patients with portal vein thrombosis.
Moreno González
E
E
Hospital 12 de Octubre, Madrid.
García García
I
I
Gómez Sanz
R
R
Riaño Carrera
D
D
González Pinto
I
I
Loinaz Segurola
C
C
Trombatore
G
G
Bercedo Martínez
J
J
Pérez Cerdá
F
F
Maffettone
V
V
D000328:Adult; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008103:Liver Cirrhosis / Q000150:complications / Q000601:surgery; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications / Q000601:surgery; D008105:Liver Cirrhosis, Biliary / Q000150:complications / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000601:surgery; D013927:Thrombosis / Q000150:complications / Q000601:surgery
D007166:Immunosuppressive Agents
Trapianto epatico e trombosi portale.