title: [Hepatic retransplant and acute Budd Chiari syndrome. Case report].
abstract: 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.
authors.affiliation: Unidad de Trasplantes, Hospital Clínico-Quirúrgico Hermanos Ameijeiras, La Habana, Cuba. andresman63@yahoo.com
authors.forename: Andrés M
authors.initials: AM
authors.lastname: Savio-López
authors.forename: Evelin E
authors.initials: EE
authors.lastname: Lara-Molina
authors.forename: Ramón
authors.initials: R
authors.lastname: Soliva-Domínguez
authors.forename: José A
authors.initials: JA
authors.lastname: Capo-Jorge
authors.forename: Boris
authors.initials: B
authors.lastname: Gala-López
authors.forename: Fernando
authors.initials: F
authors.lastname: González-Castillo
mesh_terms: 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