A rare case of complex vascular reconstruction in liver transplantation.
Abnormalities of recipient or donor vascular structures are associated with reconstructive difficulties in liver transplantation. A patient with thrombosis of the right hepatic vein and associated stricture of the inferior vena cava (IVC), portal vein thrombosis and multiple aberrant arteries underwent orthotopic liver transplantation. The donor's suprahepatic IVC was anastomosed to the recipient's intrathoracic IVC. The portal vein flow was restored by venous graft interposition, while the arterial flow was ensured by interposing an iliac arterial graft anastomosed to the infrarenal aorta. In conclusion, graft function remains excellent more than 5 years postoperatively.
Smyrniotis
Vassilios
V
2nd Department of Surgery, University of Athens School of Medicine, Aretaieion Hospital, Athens, Greece. vsmyrniotis@hotmail.com
Arkadopoulos
Nikolaos
N
Kostopanagiotou
Georgia
G
Vassiliou
John
J
Contis
John
J
D000714:Anastomosis, Surgical / Q000379:methods; D006499:Hepatic Artery / Q000002:abnormalities* / Q000601:surgery*; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000150:complications*; D014682:Vena Cava, Inferior / Q000601:surgery