title: [Liver transplantation and portal thrombosis].
abstract: 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.
authors.affiliation: Hospital 12 de Octubre, Madrid.
authors.forename: E
authors.initials: E
authors.lastname: Moreno González
authors.forename: I
authors.initials: I
authors.lastname: García García
authors.forename: R
authors.initials: R
authors.lastname: Gómez Sanz
authors.forename: D
authors.initials: D
authors.lastname: Riaño Carrera
authors.forename: I
authors.initials: I
authors.lastname: González Pinto
authors.forename: C
authors.initials: C
authors.lastname: Loinaz Segurola
authors.forename: G
authors.initials: G
authors.lastname: Trombatore
authors.forename: J
authors.initials: J
authors.lastname: Bercedo Martínez
authors.forename: F
authors.initials: F
authors.lastname: Pérez Cerdá
authors.forename: V
authors.initials: V
authors.lastname: Maffettone
mesh_terms: 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
chemical_list: D007166:Immunosuppressive Agents
vernacular_title: Trapianto epatico e trombosi portale.