Hepatic artery interruption followed by portal vein thrombosis in an adult liver transplant.
Vascular complications following liver transplantation result in significant morbidity and mortality. We report a 28-year-old man who, because of a mycotic false aneurysm, underwent ligation of the hepatic artery 4.5 weeks post-transplantation and who, 4.5 months later, suffered a portal-mesenteric vein thrombosis. Adverse hepatic sequelae did not follow these events, demonstrating the capacity of the collateral circulation to perfuse the transplanted liver.
Yoshida
E M
EM
Department of Medicine, University of British Columbia, British Columbia Transplant Society, Vancouver, Canada.
Erb
S R
SR
Morris
D C
DC
Wall
W J
WJ
Scudamore
C H
CH
D000328:Adult; D000785:Aneurysm, Infected / Q000209:etiology / Q000601:surgery*; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D008026:Ligation; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008642:Mesenteric Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000473:pathology*; D011859:Radiography; D012039:Regional Blood Flow; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D018608:Ultrasonography, Doppler