title: Liver transplantation using cavoportal transposition: an effective treatment in patients with complete splanchnic venous thrombosis.
abstract: 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.
authors.affiliation: Abdominal Transplant Surgery, University Hospitals Leuven, Leuven, Belgium.
authors.forename: B
authors.initials: B
authors.lastname: Ceulemans
authors.forename: R
authors.initials: R
authors.lastname: Aerts
authors.forename: D
authors.initials: D
authors.lastname: Monbaliu
authors.forename: W
authors.initials: W
authors.lastname: Coosemans
authors.forename: C
authors.initials: C
authors.lastname: Verslype
authors.forename: W
authors.initials: W
authors.lastname: Van Steenbergen
authors.forename: P
authors.initials: P
authors.lastname: Yap
authors.forename: J
authors.initials: J
authors.lastname: Fevery
authors.forename: F
authors.initials: F
authors.lastname: Nevens
authors.forename: J
authors.initials: J
authors.lastname: Pirenne
mesh_terms: 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*