title: Use of the breast implant for liver graft malposition.
abstract: Transplantation of a small liver into a large patient may cause problems with correct reperfusion of the graft because of torsion of the hepatic pedicle, leading to malfunction of the transplanted organ. We describe the case of a 60-year-old man with alcoholic cirrhosis and hepatitis B virus who received a small-sized liver graft. Owing to the lack of adequate reperfusion of the transplanted organ arising from pedicular kinking caused by disparate sizes, a breast implant was placed behind the graft as a means of support, thereby resolving the problem. The use of prosthetic materials for the correct placement of grafts with size incongruity is also discussed, and the literature is reviewed.
authors.affiliation: Department of General and Digestive Surgery, Unit of Hepato-pancreato-biliary Surgery and Liver Transplantation, Carlos Haya Regional University Hospital, Málaga, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Mera
authors.forename: J
authors.initials: J
authors.lastname: Santoyo
authors.forename: M A
authors.initials: MA
authors.lastname: Suárez
authors.forename: J A
authors.initials: JA
authors.lastname: Bondía
authors.forename: A J
authors.initials: AJ
authors.lastname: Cabello
authors.forename: M
authors.initials: M
authors.lastname: Jiménez
authors.forename: M
authors.initials: M
authors.lastname: Ribeiro
authors.forename: J L
authors.initials: JL
authors.lastname: Fernández-Aguilar
authors.forename: J A
authors.initials: JA
authors.lastname: Pérez-Daga
authors.forename: A
authors.initials: A
authors.lastname: de La Fuente
mesh_terms: D018427:Breast Implants; D006509:Hepatitis B / Q000601:surgery; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery / Q000821:virology; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged