Portal vein stenting the first day after orthotopic liver transplantation for residual postthrombotic stenosis compromising portal flow.
BACKGROUND
Early portal vein impairment or thrombosis after liver transplantation is a significant risk factor for graft failure.


METHODS
Here, we describe a case of severe portal hypoperfusion after thrombectomy during liver transplantation that was treated with percutaneous stenting on the first postoperative day. Stenting was combined with embolization of varices and normalized portal inflow.


RESULTS
Liver function and portal flow were normal after 1 year of follow-up.


CONCLUSIONS
This case demonstrates that percutaneous stenting is a safe and feasible therapeutic option even in the initial days after liver transplantation.
Feilitzsch
M V
MV
Department of General, Visceral and Transplant Surgery, Tübingen University Hospital, Eberhard Karls University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany.
Königsrainer
A
A
Wiskirchen
J
J
Witte
M
M
Steurer
W
W
D005260:Female; D006801:Humans; D008026:Ligation; D016031:Liver Transplantation; D008875:Middle Aged; D011169:Portal Vein; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D015607:Stents; D013270:Stomach / Q000098:blood supply; D017131:Thrombectomy; D020246:Venous Thrombosis / Q000175:diagnosis / Q000601:surgery*