title: Liver retransplantation in an infant requiring cavoportal hemi transposition.
abstract: Historically inability to achieve portal inflow to the liver allograft operatively was felt to be a contraindication to orthotopic liver transplantation (OLTx). Cavoportal hemi transposition has been utilized more recently in adult OLTx recipients but rarely in pediatric recipients. Here we report the case of a 10-month-old male with biliary atresia, who required urgent retransplantation with an in situ split cadaver donor allograft for failure of his first liver allograft from portal vein thrombosis. At the time of retransplantation, cavoportal hemi transposition was required to effect portal vein inflow to the allograft because of extensive thrombosis of the recipients portomesenteric venous system.
authors.affiliation: Liver Transplantation Unit, 9E, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia. deborah@email.cs.nsw.gov.au
authors.forename: Deborah
authors.initials: D
authors.lastname: Verran
authors.forename: Michael
authors.initials: M
authors.lastname: Crawford
authors.forename: Michael
authors.initials: M
authors.lastname: Stormon
authors.forename: Albert
authors.initials: A
authors.lastname: Shun
mesh_terms: D001656:Biliary Atresia / Q000000981:diagnostic imaging / Q000601:surgery*; D006502:Budd-Chiari Syndrome / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D011169:Portal Vein / Q000002:abnormalities / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler