Stenosis of the hepatic vein anastomosis after liver transplantation: treatment with a heparin-coated metal stent.
Delayed-onset fibrotic stenosis of the hepatic-vein anastomosis following liver transplantation resulted in ascites and abnormal liver-function tests. The stenosis was treated with balloon dilatation resulting in a clinical improvement; however, this had to be repeated four times in the 9 months after transplantation due to recurrent stenosis. The stenosis was eventually successfully treated with percutaneous insertion of a metal stent. Aspirin 50 mg daily was prescribed for 1 month. The patient was not anticoagulated. The patient remains clinically well at follow up after 18 months.
Frazer
C K
CK
Sir Charles Gairdner Hospital, Queen Elizabeth II Medical Centre, Perth, Western Australia, Australia. drfrazer@perthradclinic.com.au
Gupta
A
A
D000714:Anastomosis, Surgical / Q000009:adverse effects; D002404:Catheterization; D002648:Child; D020099:Coated Materials, Biocompatible; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D005260:Female; D006493:Heparin / Q000008:administration & dosage*; D006503:Hepatic Veins / Q000000981:diagnostic imaging*; D006801:Humans; D016031:Liver Transplantation; D015641:Radiography, Interventional; D015607:Stents
D020099:Coated Materials, Biocompatible; D006493:Heparin