title: Portal Vein Inflow From Enlarged Coronary Vein in Liver Transplantation: Surgical Approach and Technical Tips: A Case Report.
abstract: Portal vein thrombosis is common in patients with end-stage liver disease, with an incidence as high as 26% in liver transplant candidates. It is known to be associated with a high risk of morbidity and mortality posttransplantation, and its management can be challenging. The management options range from a simple thrombendvenectomy to multivisceral transplantation in cases with diffuse portomesenteric thrombosis. We report a case of liver transplantation in which we performed a rare reconstruction of the portal vein. Briefly, the patient had diffuse portomesenteric thrombosis, calcified aneurysmosis, and a large collateral coronary vein, to which we directly anastomosed the donor portal vein in an end-to-side fashion. This report describes a unique surgical approach for similar cases of severe portal vein thrombosis in liver transplant candidates.
authors.affiliation: Division of Transplant and Hepatobiliary Surgery, Henry Ford Transplant Institute, Henry Ford Hospital, Detroit, MI.
authors.forename: M
authors.initials: M
authors.lastname: Safwan
authors.affiliation: Division of Transplant and Hepatobiliary Surgery, Henry Ford Transplant Institute, Henry Ford Hospital, Detroit, MI. Electronic address: snagai1@hfhs.org.
authors.forename: S
authors.initials: S
authors.lastname: Nagai
authors.affiliation: Division of Transplant and Hepatobiliary Surgery, Henry Ford Transplant Institute, Henry Ford Hospital, Detroit, MI.
authors.forename: M S
authors.initials: MS
authors.lastname: Abouljoud
mesh_terms: D003331:Coronary Vessels; D058625:End Stage Liver Disease / Q000209:etiology / Q000601:surgery*; D019698:Hepatitis C, Chronic / Q000150:complications / Q000601:surgery; D006801:Humans; D008108:Liver Diseases, Alcoholic / Q000150:complications / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000601:surgery*; D014019:Tissue Donors; D020246:Venous Thrombosis / Q000209:etiology / Q000601:surgery*