title: Arterial anastomosis in liver transplantation for Rendu-Osler-Weber disease: two case reports.
abstract: Liver transplantation (LT) in patients with hereditary hemorrhagic telangiectasia (HHT), or Rendu-Osler-Weber, disease is a problematic procedure. In patients with hepatic involvement due to clinically significant arterovenous malformations, there is high risk of intraoperative bleeding and intra- or perioperative complications. Some surgical corrections have been proposed for venous problems, concerning the vena caval anastomosis. A common finding in HHT is arterial enlargement of the celiac trunk and of the common hepatic artery. We report 2 cases of LT in HHT where the arterial anastomosis was successfully performed using the splenic artery of the recipient, which shows less tendency for enlargement than the celiac trunk.
authors.affiliation: UO Chirurgia Generale e Trapianti di Fegato, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Milan, Italy; Department of Digestive and Hepatobiliary Surgery, AP-HP, UFR de Médecine de I'Université Paris XII-Créteil, France. Electronic address: maggi.umberto@gmail.com.
authors.forename: U
authors.initials: U
authors.lastname: Maggi
authors.forename: G
authors.initials: G
authors.lastname: Conte
authors.forename: G
authors.initials: G
authors.lastname: Nita
authors.forename: S
authors.initials: S
authors.lastname: Gatti
authors.forename: G
authors.initials: G
authors.lastname: Paone
authors.forename: L
authors.initials: L
authors.lastname: Caccamo
authors.forename: R
authors.initials: R
authors.lastname: Lauro
authors.forename: D
authors.initials: D
authors.lastname: Dondossola
authors.forename: E
authors.initials: E
authors.lastname: Buscarini
authors.forename: G
authors.initials: G
authors.lastname: Rossi
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D001158:Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D016031:Liver Transplantation; D008875:Middle Aged; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000601:surgery*; D014057:Tomography, X-Ray Computed