Liver transplantation using cavoportal transposition: an effective treatment in patients with complete splanchnic venous thrombosis.
Complete venous thrombosis of the splanchnic system remains a major challenge in liver transplantation surgery. Some of these patients have been treated successfully by multivisceral transplantation. Cavoportal transposition is another alternative to treat these patients. We reviewed our single-center experience with this technique. Five patients with operatively confirmed complete splanchnic thrombosis were transplanted with the cava portal transposition technique. All survived the procedure; 60% survived long term. This technique is a useful salvage procedure in moribund patients with diffuse portal thrombosis who would otherwise rapidly succumb.
Ceulemans
B
B
Abdominal Transplant Surgery, University Hospitals Leuven, Leuven, Belgium.
Aerts
R
R
Monbaliu
D
D
Coosemans
W
W
Verslype
C
C
Van Steenbergen
W
W
Yap
P
P
Fevery
J
J
Nevens
F
F
Pirenne
J
J
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011167:Portacaval Shunt, Surgical; D011169:Portal Vein / Q000601:surgery*; D012189:Retrospective Studies; D013152:Splanchnic Circulation; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000601:surgery*