Management of hepatic venous obstruction after split-liver transplantation.
Stenosis of the hepatic vein anastomosis is an unusual but critical complication after liver transplantation. In pediatric liver transplantation, the scarcity of size-matched donors has required the use of segmental liver allografts, either as reduced-size or split-liver grafts. This report illustrates the primary use of a hepatic vein stent to manage hepatic venous outflow obstruction in a pediatric split-liver recipient, and reviews experience in the management of hepatic venous outflow obstruction after liver transplant using stent methods.
Mazariegos
G V
GV
Thomas E. Starzl Transplantation Institute, University of Pittsburgh Medical Center, Department of Surgery, PA 15213, USA. mazarieg@pitt.edu
Garrido
V
V
Jaskowski-Phillips
S
S
Towbin
R
R
Pigula
F
F
Reyes
J
J
D006528:Carcinoma, Hepatocellular / Q000601:surgery; D006504:Hepatic Veno-Occlusive Disease / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007223:Infant; D008113:Liver Neoplasms / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D011183:Postoperative Complications; D015607:Stents; D014184:Transplantation, Homologous