Modified temporary end-to-side portocaval shunt in liver and small bowel transplantation.
Piggyback orthotopic liver transplantation (LTx) has permitted the elimination of extra-corporeal venovenous bypass. In some instances, an internal temporary portocaval shunt has to be constructed in order to prevent hemodynamic instability. We describe a technique in which a donor iliac vein graft is used to bridge the distance between the portal vein and vena cava in cases where a direct shunt cannot be constructed. This technique can be applied to liver Tx as well as to liver and small bowel Tx.
Molmenti
E P
EP
The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21287, USA. emolmenti@jhmi.edu
Marsh
J W
JW
Molmenti
H
H
Reyes
J
J
Fung
J J
JJ
D006801:Humans; D007084:Iliac Vein / Q000637:transplantation*; D007421:Intestine, Small / Q000637:transplantation*; D016031:Liver Transplantation / Q000379:methods*; D011167:Portacaval Shunt, Surgical / Q000379:methods*