title: Gore-Tex jump graft for portal vein thrombosis following living donor liver transplantation.
abstract: 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.
authors.affiliation: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. hkoji@k6.dion.ne.jp
authors.forename: Koji
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Shimada
authors.forename: Taketoshi
authors.initials: T
authors.lastname: Suehiro
authors.forename: Yuji
authors.initials: Y
authors.lastname: Soejima
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Minagawa
authors.forename: Shoji
authors.initials: S
authors.lastname: Hiroshige
authors.forename: Satoko
authors.initials: S
authors.lastname: Shiotani
authors.forename: Mizuki
authors.initials: M
authors.lastname: Ninomiya
authors.forename: Noboru
authors.initials: N
authors.lastname: Harada
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Komori
authors.forename: Keizo
authors.initials: K
authors.lastname: Sugimachi
mesh_terms: 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*