The use of autologous rectus facia sheath for replacement of inferior caval vein defect in orthotopic liver transplantation.
Occasionally, during liver transplantation, vascular reconstructions have to be performed. Donor vessels can be harvested for this purpose. However, when these are lacking, alternatives should be available. A possible alternative can be the use of autologous rectus fascia sheath, folded as a tube with the mesothelium on the inside. Earlier experimental studies from our centre showed the successful use of the rectus fascia sheath graft in vascular defects in animal experiments. This report describes the first use of this autologous tubular graft for replacement of the inferior caval vein interponate during liver transplantation in men.
Kóbori
László
L
Semmelweis University, Transplantation and Surgical Clinic, Budapest, Hungary. koblac@hotmail.com
Doros
Attila
A
Németh
Tibor
T
Fazakas
János
J
Nemes
Balázs
B
Slooff
Maarten J H
MJ
Járay
Jeno
J
de Jong
Koert P
KP
D000005:Abdomen / Q000098:blood supply; D000328:Adult; D006502:Budd-Chiari Syndrome / Q000628:therapy; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000494:pharmacology; D016031:Liver Transplantation / Q000379:methods*; D017568:Rectus Abdominis / Q000473:pathology*; D015607:Stents; D013927:Thrombosis; D013997:Time Factors; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000473:pathology*
D007166:Immunosuppressive Agents