[Hepatic retransplant and acute Budd Chiari syndrome. Case report].
Hepatic retransplant constitutes 10-20% of all orthotopic hepatic transplants. The piggy-back technique was used in hepatectomy with conservation of the retrohepatic vena cava. A side-to-side cavo-cavostomy technique is described in the case of hepatic congestion or acute Budd Chiari syndrome post-transplant. This is an extremely serious condition and can result in death. We present the first case of hepatic retransplant performed in Hospital Hermanos Ameijeiras in a patient who received who received his first transplant due to non-resectable hepatocarcinoma and who required retransplant due to acute rejection and graft dysfunction. During retransplant, the Belghiti side-to-side anastomosis technique was used to resolve the acute Budd Chiari syndrome that presented itself. Post-surgical evolution at 18 months was satisfactory without evidence of complications of the graft. Acute Budd Chiari syndrome post-transplant can satisfactorily be resolved with the Belghiti technique, although it is preferable to take prophylactic measures to avoid it.
Savio-López
Andrés M
AM
Unidad de Trasplantes, Hospital Clínico-Quirúrgico Hermanos Ameijeiras, La Habana, Cuba. andresman63@yahoo.com
Lara-Molina
Evelin E
EE
Soliva-Domínguez
Ramón
R
Capo-Jorge
José A
JA
Gala-López
Boris
B
González-Castillo
Fernando
F
D000208:Acute Disease; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D006502:Budd-Chiari Syndrome / Q000209:etiology* / Q000601:surgery*; D006084:Graft Rejection / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D012086:Reoperation; D014682:Vena Cava, Inferior / Q000601:surgery