title: Management of complications after varicoportal anastomosis in liver transplantation.
abstract: The presence of portal vein thrombosis is a potential limitation for liver transplantation. An intraoperative diagnosis is linked to extensive surgical treatment and massive postoperative complications and mortality. We present a surgical less risky method for the treatment of intraoperatively diagnosed portal and mesenteric vein thrombosis that served as salvage therapy for a patient who underwent liver transplantation in our centre. Postoperative complications were ascites and renal failure. Persistent ascites required repeated paracentesis during the first month after liver transplantation but medical treatment sufficed thereafter. Moderate renal failure as defined by the K/DOQI-guidelines improved gradually and dialysis was never indicated. Six months after transplantation, the patient had normal liver function and adequate renal function.
authors.affiliation: Division of Transplantation, Department of Surgery, Medical University Graz, Graz, Austria. daniela.kniepeiss@medunigraz.at
authors.forename: Daniela
authors.initials: D
authors.lastname: Kniepeiss
authors.forename: Helmut
authors.initials: H
authors.lastname: Müller
authors.forename: Doris
authors.initials: D
authors.lastname: Wagner
authors.forename: Florian
authors.initials: F
authors.lastname: Iberer
authors.forename: Karl-Heinz
authors.initials: KH
authors.lastname: Tscheliessnigg
mesh_terms: D000714:Anastomosis, Surgical; D001201:Ascites / Q000175:diagnosis / Q000628:therapy*; D005500:Follow-Up Studies; D019698:Hepatitis C, Chronic / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D008103:Liver Cirrhosis / Q000601:surgery*; D008111:Liver Function Tests; D016031:Liver Transplantation; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D008642:Mesenteric Veins / Q000601:surgery; D008875:Middle Aged; D011169:Portal Vein / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*; D051437:Renal Insufficiency / Q000175:diagnosis / Q000628:therapy*; D014648:Varicose Veins / Q000601:surgery*; D020246:Venous Thrombosis / Q000601:surgery*