Living donor liver transplantation as a means of rescuing post-embolization hepatic failure in a patient with idiopathic intrahepatic arteriovenous malformation in the liver.
Interventional radiology used to be a first-line treatment for cardiac failure caused by idiopathic hepatic arteriovenous malformation (AVM). Here, we report a 64-year-old male patient treated by living donor liver transplantation (LDLT) following failed hepatic artery embolization for idiopathic hepatic AVM. Hepatic artery reconstruction in LDLT was very difficult in this case due to the adverse effects of the pre-transplant intervention. In the treatment of widespread AVM in the liver, arterial embolization should be avoided and primary liver transplantation should be considered.
Nishimori
Aya
A
Department of Pediatric Surgery and Transplantation, Kumamoto University Hospital, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Okajima
Hideaki
H
Okumura
Kenji
K
Yoneyama
Tetsushi
T
Takeichi
Takayuki
T
Asonuma
Katsuhiro
K
Ikeda
Osamu
O
Inomata
Yukihiro
Y
D000792:Angiography / Q000379:methods; D001165:Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D005500:Follow-Up Studies; D006085:Graft Survival; D006499:Hepatic Artery / Q000002:abnormalities; D006503:Hepatic Veins / Q000002:abnormalities; D006801:Humans; D017093:Liver Failure / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D016896:Treatment Outcome