Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation.
Portal vein thrombosis is observed in up to 10% of liver transplant candidates, hindering execution of the procedure. A dilated gastric vein is an alternative to portal vein reconstruction and decompression of splanchnic bed. We present two cases of patients with portal cavernoma and dilated left gastric vein draining splanchnic bed who underwent liver transplantation. The vein was dissected and sectioned near the cardia; the proximal segment was ligated with suture and the distal segment was anastomosed to the donor portal vein. Gastroportal anastomosis is an excellent option for portal reconstruction in the presence of thrombosis or hypoplasia. It allows an adequate splanchnic drainage and direction of hepatotrophic factors to the graft.
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Uirá Fernandes
0000-0001-6764-5223
UF
Teixeira
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Mayara Christ
0000-0001-6625-6971
MC
Machry
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Marcos Bertozzi
MB
Goldoni
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Cristine
C
Kruse
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
João Alfredo
JA
Diedrich
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Pablo Duarte
0000-0002-4663-8566
PD
Rodrigues
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Caroline Becker
CB
Giacomazzi
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Estéfano Aurélio
EA
Negri
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Matheus
M
Koop
Pontifícia Universidade Católica (PUC), Porto Alegre, RS, Brazil.
Carlos Gustavo Spode
0000-0002-9830-3485
CG
Gomes
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
José Artur
JA
Sampaio
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Paulo Roberto Ott
PR
Fontes
Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil.
Fábio Luiz
FL
Waechter