Liver transplantation in the presence of portal vein thrombosis: report from a single center.
Portal vein thrombosis (PVT) is a frequent finding in liver transplantation, the management of which depends mainly on its extent. In cases of mild to moderate PVT, a low dissection of the portal trunk, a jump graft, or direct implantation of graft portal vein into large venous collaterals or thrombectomy offer alternatives. For severe PVT anecdotal reports suggest that cavoportal hemitransposition, portal arterialization, or combined liver and intestine transplantation may be attempted, although the results to date are not satisfactory. When extensive perivenous and venous inflammatory changes reach the infrapancreatic region, liver transplantation probably should not be performed due to the high mortality rate.
Orlando
G
G
Surgical Clinic, Tor Vergata University of Rome-S. Eugenio Hospital, Rome, Italy.
De Luca
L
L
Toti
L
L
Zazza
S
S
Angelico
M
M
Casciani
C U
CU
Tisone
G
G
D002423:Cause of Death; D006084:Graft Rejection / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D017093:Liver Failure / Q000150:complications / Q000209:etiology / Q000601:surgery; D016031:Liver Transplantation / Q000401:mortality / Q000706:statistics & numerical data*; D011169:Portal Vein / Q000473:pathology; D012008:Recurrence; D012189:Retrospective Studies; D016019:Survival Analysis; D013927:Thrombosis / Q000150:complications / Q000453:epidemiology*; D013997:Time Factors