title: [Liver transplantation with cavoportal or renoportal anastomosis: a solution in cases of diffuse portal thrombosis].
abstract: OBJECTIVE
  Liver transplantation was contraindicated in patients with diffuse thrombosis of the portal vein until the recent use of graft portal vein reperfusion with the caval flow or one of its tributaries. Long term results of these procedures are reported here.
  
  
  METHODS
  Eight patients with diffuse portal vein thrombosis were transplanted by portal reperfusion via latero-terminal anastomosis between the native caval vein and the graft portal vein (2 patients) or termino-terminal between the native left renal vein and the graft portal vein (6 patients).
  
  
  RESULTS
  Three patients died 3, 3 and 6 months following transplantation from intracerebral hemorrhage, cardiac arrest, and chronic rejection respectively. Three patients had complicated portal hypertension. Five patients were alive at home with a median follow-up of 9 months (2 to 37 months) with normal liver and kinase functions.
  
  
  CONCLUSIONS
  Portal reperfusion with the caval vein flow allows transplantation of patients with diffuse poral vein thrombosis. According to our experience and to the analysis of the literature, reno-portal anastomosis is preferable to cavo-portal reconstruction.
authors.affiliation: Centre Hépato-Biliaire, UPRES 1596, IFR 89.9, Hôpital Paul Brousse, Villejuif Université Paris-Sud, Paris, France. daniel.azoulay@pbr.ap-hop-paris.fr
authors.forename: Daniel
authors.initials: D
authors.lastname: Azoulay
authors.forename: René
authors.initials: R
authors.lastname: Adam
authors.forename: Denis
authors.initials: D
authors.lastname: Castaing
authors.forename: Sorin
authors.initials: S
authors.lastname: Muresan
authors.forename: Achile
authors.initials: A
authors.lastname: Essomba
authors.forename: Eric
authors.initials: E
authors.lastname: Vibert
authors.forename: Eric
authors.initials: E
authors.lastname: Savier
authors.forename: Alaoua
authors.initials: A
authors.lastname: Smail
authors.forename: Luc-Antoine
authors.initials: LA
authors.lastname: Veilhan
authors.forename: Henri
authors.initials: H
authors.lastname: Bismuth
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007677:Kidney Function Tests; D008111:Liver Function Tests; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011167:Portacaval Shunt, Surgical; D011169:Portal Vein / Q000637:transplantation; D015424:Reperfusion; D020246:Venous Thrombosis / Q000150:complications
vernacular_title: Transplantation hépatique avec anastomose cavo-porte ou réno-porte.