Endovascular management of early portal vein thrombosis caused by coronary vein steal after liver transplantation and its outcome.
Early portal vein thrombosis (PVT), after orthotopic liver transplantation (OLT), is relatively uncommon and is a serious complication that can compromise graft and patient survival. The factors predisposing to PVT after OLT include rejection, technical problems during the surgery, use of vein grafts and conduits, preoperative PVT, previous portasystemic shunts and splenectomy, hypercoagulable state, and significant development of gastroesophageal collaterals. Among them, few cases of PVT caused by coronary vein (CV) steal after OLT have been reported. Herein, we present a case with early PVT caused by CV steal after OLT, which is treated by a percutaneous transportal approach, with a review of the relevant literature.
Koo
Bon Yong
BY
Department of Surgery, Chonbuk National University Hospital, Jeonju, Korea.
Yu
Hee Chul
HC
So
Min Cheol
MC
Jin
Guang Yu
GY
Kwak
Hyo Sung
HS
Cho
Baik Hwan
BH
D000328:Adult; D003331:Coronary Vessels; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D011169:Portal Vein / Q000473:pathology*; D015607:Stents; D020246:Venous Thrombosis / Q000209:etiology* / Q000628:therapy*