Infrahepatic terminolateral cavocavostomy: a case report.
Infrahepatic vena cavocavostomy has been reported to be a rescue therapy when venous outflow from a liver allograft is obstructed due to stenosis of a piggyback anastomosis. The authors have described herein two consecutive adult liver transplantations using this technique as the primary venous anastomosis. Using a caval clamp positioned above the retrohepatic portion, partial hemodynamic obstruction of caval flow was well tolerated, avoiding use of a venovenous bypass. Although additional studies regarding this technique are needed, we believe that an infrahepatic vena cavocavostomy should be considered to be an alternative technique in carefully selected cases.
Lima
C X
CX
Hospital Felicio Rocho, Liver Transplantation Unit, Minas Gerais, Brazil. cxlima@globo.com
Garcia
S M
SM
Lima
M B
MB
D000328:Adult; D005235:Fatty Liver, Alcoholic / Q000601:surgery*; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D010030:Ostomy / Q000379:methods; D011169:Portal Vein / Q000601:surgery; D014682:Vena Cava, Inferior / Q000601:surgery*