title: Successful liver allograft inflow reconstruction with the right gastroepiploic vein.
abstract: Portal vein thrombosis is a common complication in cirrhotic patients. When portal vein thrombectomy is not a suitable option, a large collateral vessel can be used for allograft venous inflow reconstruction. We describe an unusual case of successful portal revascularization using the right gastroepiploic vein. The patient underwent a cadaveric orthotopic liver transplantation with end-to-end anastomosis of the portal vein to the right gastroepiploic vein. Six months after liver transplantation the patient is well with good liver function. The use of the right gastroepiploic vein for allograft venous reconstruction is feasible and safe, with a great advantage of avoiding the need of venous jump graft.
authors.affiliation: Liver Transplant Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, Rua Dr. Eneas de Carvalho Aguiar, 255-suite 9113/9114, Sao Paulo, SP 05403-900, Brazil. rsnpinheiro@gmail.com.
authors.forename: Rafael S
authors.initials: RS
authors.lastname: Pinheiro
authors.forename: Ruy J
authors.initials: RJ
authors.lastname: Cruz
authors.forename: Lucas S
authors.initials: LS
authors.lastname: Nacif
authors.forename: Matheus F
authors.initials: MF
authors.lastname: Vane
authors.forename: Luiz A C
authors.initials: LA
authors.lastname: D'Albuquerque
mesh_terms: D064591:Allografts; D000714:Anastomosis, Surgical; D058625:End Stage Liver Disease / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D024405:Gastroepiploic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D008875:Middle Aged; D065626:Non-alcoholic Fatty Liver Disease / Q000150:complications; D010690:Phlebography / Q000379:methods; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology*