Preservation of the patent umbilical vein during a recipient hepatectomy: case report.
Clamping of the portal vein during a recipient hepatectomy during the anhepatic phase causes venous stagnation and hemodynamic instability. To prevent this, a temporary portocaval shunt is placed at some centers. This case report shows the patent umbilical vein of a patient undergoing a recipient hepatectomy, leading to a 20% reduction of pressure in the portal vein. Preservation of a patent umbilical vein may help prevent complications of high portal vein pressure during a recipient hepatectomy.
Şişli Memorial Hospital, Solid Organ Transplantation Unit, Okmeydanı, Istanbul, Turkey.
Ahmet Bülent
AB
Doğrul
Yücel
Y
Yankol
Nesimi
N
Mecit
Bayındır
B
Çimşit
Turan
T
Kanmaz
Koray
K
Acarlı
Münci
M
Kalayoğlu
D003097:Collateral Circulation; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008026:Ligation; D016031:Liver Transplantation / Q000379:methods*; D010690:Phlebography / Q000379:methods; D017082:Portal Pressure; D011169:Portal Vein / Q000503:physiopathology / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D066027:Transplant Recipients; D016896:Treatment Outcome; D014471:Umbilical Veins / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014654:Vascular Patency; D055815:Young Adult