Flowmetry-based portal inflow manipulation for a small-for-size liver graft in a recipient with spontaneous splenorenal shunt.
We report a case of living donor liver transplantation using a small-for-size graft (SFSG) with graft to estimated standard liver volume of only 28% in a recipient with spontaneous splenorenal shunt and demonstrate the value of intraoperative ultrasonic flowmetry. Despite an SFSG, the graft was underperfused. This was recognized by flowmetry and was rectified by ligation of the splenorenal shunt.
Chan
See Ching
SC
Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong, China.
Lo
Chung Mau
CM
Chik
Barbara H
BH
Chow
Lorraine C
LC
Fan
Sheung Tat
ST
D000328:Adult; D005260:Female; D005434:Flow Cytometry; D006801:Humans; D008026:Ligation; D008099:Liver / Q000098:blood supply*; D008102:Liver Circulation / Q000502:physiology*; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D009929:Organ Size; D011379:Prognosis; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography