title: Hepatic artery reconstruction preserving the pancreaticoduodenal arcade in pediatric liver transplantation with celiac axis compression syndrome: report of a case.
abstract: CACS is rare, although it has been reported to be a potential risk factor for hepatic artery thrombosis following LT. We herein present the case of a 14-yr-old male with stenosis of the origin of the celiac trunk. Preoperative CT and color ultrasonography showed narrowing of the proximal celiac artery. The patient underwent DDLT with standard arterial reconstruction without dividing the gastroduodenal artery. His postoperative course was uneventful, with an excellent hepatic artery flow on Doppler ultrasonography. Applying a meticulous preoperative evaluation and the appropriate surgical technique is crucial in patients with CACS.
authors.affiliation: Transplantation Center, National Center for Child Health and Development, Tokyo, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Uchida
authors.forename: Seisuke
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Matsunami
authors.forename: Kengo
authors.initials: K
authors.lastname: Sasaki
authors.forename: Takanobu
authors.initials: T
authors.lastname: Shigeta
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kanazawa
authors.forename: Akinari
authors.initials: A
authors.lastname: Fukuda
authors.forename: Atsuko
authors.initials: A
authors.lastname: Nakazawa
authors.forename: Osamu
authors.initials: O
authors.lastname: Miyazaki
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Nosaka
authors.forename: Mureo
authors.initials: M
authors.lastname: Kasahara
mesh_terms: D000293:Adolescent; D017130:Angioplasty; D002445:Celiac Artery / Q000002:abnormalities* / Q000601:surgery; D020159:Citrullinemia / Q000150:complications / Q000601:surgery; D003251:Constriction, Pathologic / Q000150:complications / Q000601:surgery*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008022:Ligaments; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D000074742:Median Arcuate Ligament Syndrome; D013927:Thrombosis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures / Q000379:methods
keywords: celiac artery compression syndrome; hepatic artery thrombosis; median arcuate ligament; pediatric liver transplantation