[Liver transplantation: anomalies of the hepatic artery and the liver in 80 donors].
The author has studied the main hepatic artery (HA) alterations and liver related disease (LRD) in 80 donors. The normal arterial anatomy with a single HA arising from the celiac trunk was seen in 61% of cases; a left hepatic artery (LHA) off left gastric artery (LGA) in 19% of cases and a right hepatic artery (RHA) arising from superior mesenteric artery (SMA) in 15% of cases. Two rare anomalies: an HA off anastomosis connecting celiac trunk to SMA and a LHA off LGA around the esophagus. A case of absence of celiac artery and the splenic artery (SA) was found arising directly from the aorta, and another one the SM arose from RHA. Six livers were turned down: 3 by cholecystitis, 2 by preoperative hypoxia and 1 by hepatic polycystic disease. Steatosis and hemangioma have been among the others LRD. In conclusion, HA and LRD have occurred in approximately 50% of donors, this fact underline the importance of searching the anomalies of the HA and LRD during the organ retrieval.
Chaib
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Departamento de Cirurgia, Hospital Addenbrookes, Universidade de Cambridge, Inglaterra.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006499:Hepatic Artery / Q000002:abnormalities*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008107:Liver Diseases / Q000150:complications; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors
Transplante de fígado: alterações da artéria hepática e do fígado em 80 doadores.