Auxiliary partial orthotopic living donor liver transplantation for a child with congenital absence of the portal vein.
Congenital absence of the portal vein (CAPV) is a rare malformation of the mesenteric vasculature in which visceral venous blood bypasses the liver, completely draining into the systemic circulation through a congenital porto-systemic shunt. Liver transplantation has rarely been indicated for patients with this disease. We present a child with CAPV who was managed successfully by living donor auxiliary partial orthotopic liver transplantation (APOLT), while preserving the right lobe of the native liver. In conclusion, APOLT for patients with CAPV is a feasible and ideal procedure because portal vein (PV) diversion is not necessary.
Soejima
Yuji
Y
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. ysoejima@clin.med.tokushima-u.ac.jp
Taguchi
Tomoaki
T
Ogita
Keiko
K
Taketomi
Akinobu
A
Yoshizumi
Tomoharu
T
Uchiyama
Hideaki
H
Ohno
Takuro
T
Shimada
Mitsuo
M
Maehara
Yoshihiko
Y
D002675:Child, Preschool; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D011169:Portal Vein / Q000002:abnormalities*