Management of vascular complications after pediatric liver transplantation.
Sixty-five children underwent liver transplantation (LTx) from March 1995 to December 2002. Cirrhosis due to biliary atresia was the main indication, and hepatic artery thrombosis (HAT) the most common vascular complication (n = 5). Other vascular problems were portal vein thrombosis and stenosis. Another patient developed hepatomegaly and ascites due to a late stenosis of the left hepatic vein anastomosis. The two cases of venous stenosis were successfully treated by percutaneous angioplasty. One graft with HAT was saved, but four children died awaiting retransplant.
Zanotelli
M L
ML
Pediatric Liver Transplant Group, Hospital de Clinicas, Porto Alegre RS, Brazil. macluc@terra.com.br
Vieira
S
S
Alencastro
R
R
Kieling
C
C
Leipnitz
I
I
Ferreira
C
C
Silveira
T R
TR
Cantisani
G P C
GP
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003251:Constriction, Pathologic; D005260:Female; D006499:Hepatic Artery; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D011169:Portal Vein; D011183:Postoperative Complications / Q000145:classification; D011184:Postoperative Period; D013927:Thrombosis / Q000209:etiology; D014652:Vascular Diseases / Q000145:classification / Q000209:etiology*