title: A complication associated with the use of neonatal liver in orthotopic liver transplantation.
abstract: BACKGROUND
  Neonatal livers have been associated with a higher incidence of vascular complications but are nevertheless used because of donor shortage.
  
  
  OBJECTIVE
  We report a complication of hepatic venous outflow obstruction because we retained the neonatal retrohepatic cava from the first transplant for retransplantation using a left lateral segment.
  
  
  METHODS
  Technical and post-operative complications associated with a small "native" inferior cava and transplantation are described.
  
  
  RESULTS
  Successful treatment with balloon angioplasty resulted in re-establishing the flow in the hepatic venous outflow tract. The child is well 3 years on with stable graft function.
  
  
  CONCLUSIONS
  Percutaneous transluminal angioplasty is an effective non-surgical therapy for post liver transplant hepatic venous outflow obstruction. Replacement of the inferior venacava rather than retaining neonatal venacava may be a better option during retransplantation.
authors.affiliation: Institute of Liver Studies, Kings College Hospital, Denmark Hill, Camberwell, London SE5 9RS.
authors.forename: P
authors.initials: P
authors.lastname: Srinivasan
authors.forename: J
authors.initials: J
authors.lastname: Karani
authors.forename: N
authors.initials: N
authors.lastname: Heaton
authors.forename: M
authors.initials: M
authors.lastname: Rela
mesh_terms: D000800:Angioplasty, Balloon; D001201:Ascites / Q000209:etiology*; D001656:Biliary Atresia / Q000601:surgery*; D003251:Constriction, Pathologic / Q000628:therapy; D005260:Female; D006503:Hepatic Veins / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008102:Liver Circulation; D016031:Liver Transplantation / Q000379:methods*; D011183:Postoperative Complications / Q000628:therapy; D011859:Radiography; D013927:Thrombosis / Q000209:etiology*; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000473:pathology*