title: Management of hepatic venous obstruction after split-liver transplantation.
abstract: 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.
authors.affiliation: Thomas E. Starzl Transplantation Institute, University of Pittsburgh Medical Center, Department of Surgery, PA 15213, USA. mazarieg@pitt.edu
authors.forename: G V
authors.initials: GV
authors.lastname: Mazariegos
authors.forename: V
authors.initials: V
authors.lastname: Garrido
authors.forename: S
authors.initials: S
authors.lastname: Jaskowski-Phillips
authors.forename: R
authors.initials: R
authors.lastname: Towbin
authors.forename: F
authors.initials: F
authors.lastname: Pigula
authors.forename: J
authors.initials: J
authors.lastname: Reyes
mesh_terms: 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