Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: a case report.
The liver transplantation technique advances have allowed the endovascular treatment of stenosis between hepatic vein and inferior vena cava, and this has become an established and widely acceptable method for the treatment of patients with end-stage liver disease. However, in spite of the advances in the surgical technique of liver transplantation there is relatively still a high incidence of postoperative complications, especially those related to vascular complications. One technical variant of orthotopic liver transplantation is the piggyback technique with conservation of the recipient vena cava, which is anastomosed to the graft hepatic veins. As a consequence of the increased number of liver transplants in children, there is a higher demand for endovascular treatment of vascular stenosis, such as those at the level of the hepatic veins. This leads to more consistent experience of endovascular treatment of the surgical vascular complications following liver transplantation. This article describes the case of a child submitted to liver transplantation with reduced graft (left lateral segment) who presented stenosis of the anastomosis between the hepatic vein and IVC 6 months later which was successfully treated by PTA.
Carnevale
Francisco Cesar
FC
Department of Radiology, Instituto da Criança Prof. Pedro de Alcântara, University of São Paulo, São Paulo, Brazil. fcarnevale@uol.com.br
Borges
Marcus Vinicius
MV
Pinto
Ricardo Augusto de Paula
RA
Oliva
José Luiz
JL
Andrade
Wagner de Castro
Wde C
Maksoud
João Gilberto
JG
D000714:Anastomosis, Surgical; D002404:Catheterization; D003251:Constriction, Pathologic / Q000628:therapy; D005260:Female; D006499:Hepatic Artery / Q000601:surgery; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods; D008866:Microsurgery; D011184:Postoperative Period; D012008:Recurrence; D012039:Regional Blood Flow; D019233:Retreatment; D018608:Ultrasonography, Doppler; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology*