Successful living donor liver transplantation in portomesenteric thrombosis.
Chronic portal vein thrombosis (PVT) is often considered a relative contraindication for living donor liver transplantation due to the risks involved and higher morbidity. In this report, we describe a surgical strategy for living donor liver transplant in patient with complete PVT using venovenous bypass from the inferior mesenteric vein (IMV) and then using a jump graft from the IMV for portal inflow into the graft. IMV is a potential source for portal inflow in orthotopic liver transplant.
Iyer
S G
SG
Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yong Loo Lin School of Medicine, National University Hospital, Singapore.
Lau
C L C
CL
Chang
K Y S
KY
Mak
S W K
SW
Madhavan
K K
KK
D005500:Follow-Up Studies; D006801:Humans; D008099:Liver / Q000601:surgery; D008107:Liver Diseases / Q000601:surgery; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008642:Mesenteric Veins / Q000601:surgery; D008875:Middle Aged; D013162:Splenic Vein / Q000601:surgery; D013927:Thrombosis / Q000601:surgery*; D013997:Time Factors; D014019:Tissue Donors; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000601:surgery