title: A rare case of complex vascular reconstruction in liver transplantation.
abstract: 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.
authors.affiliation: 2nd Department of Surgery, University of Athens School of Medicine, Aretaieion Hospital, Athens, Greece. vsmyrniotis@hotmail.com
authors.forename: Vassilios
authors.initials: V
authors.lastname: Smyrniotis
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Arkadopoulos
authors.forename: Georgia
authors.initials: G
authors.lastname: Kostopanagiotou
authors.forename: John
authors.initials: J
authors.lastname: Vassiliou
authors.forename: John
authors.initials: J
authors.lastname: Contis
mesh_terms: 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