title: A liver donor with double hepatic artery aneurysm: a saved graft.
abstract: The shortage of organs and the increasing median age of deceased donors for orthotopic liver transplantation stimulate transplant centres to accept grafts that otherwise would have been discarded due to severe vascular abnormalities. We encountered a donor with two arterial aneurysms and a left accessory hepatic artery: an arterial aneurysm of the common hepatic artery and a left accessory hepatic artery arising from a second aneurysm of the left gastric artery (Michels type V). A complex reconstruction was created to transplant the liver. Multiple arterial anastomosis was made and the hepatic inflow of the transplanted liver restored. Although the procedure increased the risk of hepatic artery thrombosis, one more organ supposed to be discarded was saved.
authors.affiliation: Division of General Surgery and Transplantation, Department of Surgery, Brotzu Hospital, p.le Ricchi, 1-09100, Cagliari, Italy. etondolo@hotmail.com.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Tondolo
authors.forename: Alberto
authors.initials: A
authors.lastname: Manzoni
authors.forename: Fausto
authors.initials: F
authors.lastname: Zamboni
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis; D046148:Donor Selection; D005260:Female; D006499:Hepatic Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000175:diagnosis / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods*; D008297:Male; D061330:Multidetector Computed Tomography; D012307:Risk Factors; D014019:Tissue Donors; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications* / Q000175:diagnosis; D014656:Vascular Surgical Procedures