Reconstruction of middle hepatic vein of a living-donor right lobe liver graft with recipient left portal vein.
Venous outflow problems in right lobe, living-donor liver transplantation are uncommon, but devastating when they occur. We describe the successful use of the recipient's left portal vein as an interposition graft to drain a dominant middle hepatic vein in a right lobe liver transplant. Two weeks after transplantation, the vein graft accounted for 56% of the total venous outflow of the liver.
Cattral
M S
MS
Multiorgan Transplantation Program, Toronto General Hospital, 621 University Avenue, Toronto, Ontario, Canada M5G 2C4. mark.cattral@uhn.on.ca
Greig
P D
PD
Muradali
D
D
Grant
D
D
D000328:Adult; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000473:pathology / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D011169:Portal Vein / Q000637:transplantation*; D011300:Preoperative Care