title: Living-Donor Liver Transplantation for Budd-Chiari Syndrome--Resection and Reconstruction of the Suprahepatic Inferior Vena Cava With the Use of Cadaveric Aortic Allograft: Case Report.
abstract: BACKGROUND
  Living-donor liver transplantation with inferior vena cava resection and reconstruction is rarely indicated for Budd-Chiari syndrome. The aim of this case presentation was to present and discuss the inferior vena cava reconstruction with the use of cadaveric aortic allograft after resection of the suprahepatic inferior vena cava in a patient with Budd-Chiari syndrome who was treated with living-donor liver transplantation.
  
  
  METHODS
  A 29-year-old male patient with end-stage liver disease and suprahepatic inferior vena cava obstruction was referred to our center. He was scheduled for living-donor liver transplantation. The suprahepatic inferior vena cava was resected and reconstruction was achieved by means of interposition of the cadaveric aortic allograft between the right atrium and inferior vena cava. Postoperative course was uneventful.
  
  
  CONCLUSIONS
  Liver transplantation and vena cava reconstruction is indicated in some patients with end-stage liver disease and Budd-Chiari syndrome. Limitations in cadaveric organ donation may be compensated for with the use of living-donor liver. In this condition, various aspects of inferior vena cava reconstruction may be discussed.
  
  
  CONCLUSIONS
  Budd-Chiari syndrome due to suprahepatic inferior vena cava obstruction close to the right atrium may be treated with vascular reconstruction with the use of a cadaveric aortic allograft.
authors.affiliation: Department of Surgery, Liver Transplantation Institute, Inonu University, Malatya, Turkey. Electronic address: slmcetin@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Cetinkunar
authors.affiliation: Department of Surgery, Liver Transplantation Institute, Inonu University, Malatya, Turkey.
authors.forename: V
authors.initials: V
authors.lastname: Ince
authors.affiliation: Department of Surgery, Liver Transplantation Institute, Inonu University, Malatya, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Ozdemir
authors.affiliation: Department of Surgery, Liver Transplantation Institute, Inonu University, Malatya, Turkey.
authors.forename: V
authors.initials: V
authors.lastname: Ersan
authors.affiliation: Department of Surgery, Liver Transplantation Institute, Inonu University, Malatya, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Yaylak
authors.affiliation: Department of Surgery, Liver Transplantation Institute, Inonu University, Malatya, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Unal
authors.affiliation: Department of Surgery, Liver Transplantation Institute, Inonu University, Malatya, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Yilmaz
mesh_terms: D000328:Adult; D001011:Aorta / Q000637:transplantation*; D006502:Budd-Chiari Syndrome / Q000601:surgery*; D002102:Cadaver; D058625:End Stage Liver Disease / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D014682:Vena Cava, Inferior / Q000601:surgery*