title: Meso-Rex shunt for immediate portal revascularization in pediatric liver transplantation: first report.
abstract: We describe the case of a 13-month-old girl transplanted for biliary atresia with PV hypoplasia. She received the left liver lobe of her mother and presented intraoperative portal thrombosis. Because of technical reasons, the opportunity to have conventional PV reconstruction using the donor left PV stump was lost. Immediate conversion to a meso-Rex shunt, using the recipient jugular vein as a bridge between the superior mesenteric vein and the graft Rex recessus, allowed excellent portal revascularization of the transplant. We suggest that synchronous meso-Rex shunt may constitute a valid alternative to truncal PV anastomosis during pediatric LT.
authors.affiliation: Pediatric Surgery and Transplant Unit, Université Catholique de Louvain, Brussels, Belgium.
authors.forename: Jairo
authors.initials: J
authors.lastname: Rivera
authors.forename: Fabio
authors.initials: F
authors.lastname: Fusaro
authors.forename: Catherine
authors.initials: C
authors.lastname: de Magnée
authors.forename: Philippe
authors.initials: P
authors.lastname: Clapuyt
authors.forename: Raymond
authors.initials: R
authors.lastname: Reding
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001656:Biliary Atresia / Q000628:therapy; D004867:Equipment Design; D005260:Female; D006085:Graft Survival; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications; D007601:Jugular Veins / Q000601:surgery; D008099:Liver / Q000033:anatomy & histology / Q000098:blood supply*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D011169:Portal Vein / Q000473:pathology* / Q000601:surgery*; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000628:therapy