Gore-Tex jump graft for portal vein thrombosis following living donor liver transplantation.
Portal vein thrombosis is a rare surgical complication following liver transplantation, which remains a cause of graft loss and death. We describe here the treatment of portal vein thrombosis following living donor liver transplantation using an extended left lobe graft. The patient was treated with a Gore-Tex vascular jump graft extra-anatomically interposed between the recipient superior mesenteric vein and the donor umbilical vein. This technique allowed the hepatic hilum to be left untouched and supplied suitable blood flow to the hepatic allograft. Our experience suggests that this innovative technical solution can be helpful in the effort to rescue cases of hepatic allograft with vascular complications.
Hashimoto
Koji
K
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. hkoji@k6.dion.ne.jp
Shimada
Mitsuo
M
Suehiro
Taketoshi
T
Soejima
Yuji
Y
Minagawa
Ryosuke
R
Hiroshige
Shoji
S
Shiotani
Satoko
S
Ninomiya
Mizuki
M
Harada
Noboru
N
Komori
Kimihiro
K
Sugimachi
Keizo
K
D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008102:Liver Circulation / Q000502:physiology; D008103:Liver Cirrhosis / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008297:Male; D011168:Portal System / Q000502:physiology; D011169:Portal Vein; D012039:Regional Blood Flow; D020246:Venous Thrombosis / Q000209:etiology* / Q000601:surgery*