title: [Liver transplantation in patients with portal vein thrombosis].
abstract: BACKGROUND
  Portal vein thrombosis has (PVT) long been an absolute contraindication to liver transplantation. In patients scheduled for liver transplantation, portal vein thrombosis occurs in 4-15%.
  
  
  RESULTS
  The authors retrospectively collected data on 740 patients who underwent an initial orthotopic liver transplant at the authors' institution between 1996 and 2009. Mean follow-up was from 1 day to 6 years. There were 437 male patients and 303 female patients. We have performed this procedure in 57 recipients with PVT; this constitutes 7.7% of the overall transplant population. There was a 10.5% incidence of liver graft dysfunction, 10.5% of hepatic artery thrombosis, 19.3% of acute rejection and 17.5% of biliary complications. The overall incidence of relaparotomy for bleeding was 28% (16 patients). In-hospital mortality and late mortality were 15.8% and 31.6%, respectively. Volumes transfused were 17.1 (0-425) transfusion units of red blood cell, 27.1 (0-132) of fresh-frozen plasma and 2.6 (0-20) of platelets respectively.
  
  
  CONCLUSIONS
  We confirm that PVT is not a contraindication to LTx at the present time.
authors.affiliation: Institut klinické a experimentální medicíny Praha, Klinika transplantacní chirurgie. lija@ikem.cz
authors.forename: Libor
authors.initials: L
authors.lastname: Janousek
authors.forename: Milos
authors.initials: M
authors.lastname: Adamec
authors.forename: Martin
authors.initials: M
authors.lastname: Oliverius
authors.forename: Pavel
authors.initials: P
authors.lastname: Trunecka
authors.forename: Milos
authors.initials: M
authors.lastname: Kucera
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D000075202:Contraindications; D005260:Female; D006801:Humans; D017093:Liver Failure / Q000150:complications* / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D012086:Reoperation; D020246:Venous Thrombosis / Q000150:complications*; D055815:Young Adult