title: Living Donor Liver Transplantation in a Patient With Extensive Portomesenteric Venous Thrombosis: Case Report.
abstract: Extensive portomesenteric venous thrombus preventing restoration of adequate portal venous flow used to be considered a contraindication to liver transplantation. The subject was a 49-year-old male with hepatitis B cirrhosis and extensive thrombosis of portal, splenic, and superior mesenteric veins, and two large collateral vessels; one dilated and tortuous inferior to the pancreaticoduodenal vein and relevant to splanchnic venous return and the other a dilated coronary vein relevant to splenic venous return. During operation, the portal vein was anastomosed to these large collateral vessels using cryopreserved iliac vein. In conclusion, portal reconstruction with large collateral vessels in living-donor liver transplantation could be used selectively for patients with extensive portomesenteric venous thrombosis.
authors.affiliation: Department of Surgery, Gil Medical Center, Gachon Medicine and Science, Guwol-dong, Namdong-gu, Incheon, Republic of Korea. Electronic address: bcon1218@naver.com.
authors.forename: S
authors.initials: S
authors.lastname: Choi
authors.affiliation: Department of Surgery, Gil Medical Center, Gachon Medicine and Science, Guwol-dong, Namdong-gu, Incheon, Republic of Korea.
authors.forename: K K
authors.initials: KK
authors.lastname: Kim
authors.affiliation: Department of Surgery, Gil Medical Center, Gachon Medicine and Science, Guwol-dong, Namdong-gu, Incheon, Republic of Korea.
authors.forename: W S
authors.initials: WS
authors.lastname: Lee
authors.affiliation: Department of Surgery, Gil Medical Center, Gachon Medicine and Science, Guwol-dong, Namdong-gu, Incheon, Republic of Korea.
authors.forename: J M
authors.initials: JM
authors.lastname: Kang
authors.affiliation: Department of Surgery, Gil Medical Center, Gachon Medicine and Science, Guwol-dong, Namdong-gu, Incheon, Republic of Korea.
authors.forename: Y H
authors.initials: YH
authors.lastname: Park
mesh_terms: D019694:Hepatitis B, Chronic / Q000473:pathology; D006801:Humans; D008103:Liver Cirrhosis / Q000473:pathology* / Q000601:surgery / Q000821:virology; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008642:Mesenteric Veins / Q000473:pathology; D008875:Middle Aged; D011169:Portal Vein / Q000473:pathology; D013162:Splenic Vein / Q000473:pathology; D020246:Venous Thrombosis / Q000209:etiology / Q000473:pathology