[Thrombosis of the hepatic artery and portal vein secondary to invasive aspergillosis following liver transplantation].
Thrombosis of the main hepatic vessels is a severe, frequent complication in patients requiring liver transplantation. It is usually a cause of emergency retransplantation. Two cases of hepatic vascular thrombosis secondary to disseminated aspergillosis are presented. Both patients demonstrated a septic state and required a second transplantation despite which they died within a few days. Necropsy showed disseminated aspergillosis with invasion of the portal venous system and the hepatic artery. The risk factors associated with this infection and the possible pathogenic mechanisms are discussed.
Gavilán
F
F
Sección de Enfermedades Infecciosas, Hospital Universitario Reina Sofía, Córdoba.
Torre-Cisneros
J
J
Delgado
M
M
Briceño
J
J
Herrero
C
C
Martínez
L
L
de la Mata
M
M
Miño
G
G
D000038:Abscess / Q000209:etiology / Q000382:microbiology; D000328:Adult; D000713:Anastomosis, Roux-en-Y; D001228:Aspergillosis / Q000150:complications*; D016470:Bacteremia / Q000150:complications; D006502:Budd-Chiari Syndrome / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006499:Hepatic Artery; D006801:Humans; D016867:Immunocompromised Host; D007165:Immunosuppression Therapy / Q000009:adverse effects; D008105:Liver Cirrhosis, Biliary / Q000150:complications / Q000601:surgery; D016031:Liver Transplantation; D010195:Pancreatitis / Q000150:complications; D010538:Peritonitis / Q000209:etiology / Q000382:microbiology; D011169:Portal Vein; D012086:Reoperation; D013530:Surgical Wound Infection / Q000382:microbiology*; D013927:Thrombosis / Q000209:etiology*
Trombosis de la arteria hepática y la vena porta secundaria a aspergilosis invasiva tras transplante hepático.