Salvage Procedure for Unexpected Portal Vein Thrombosis in Living Donor Liver Transplantation

Daniel Maluf, I. Shim, M. Posner, A. H. Cotterell, R. A. Fisher

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Portal vein thrombosis (PVT) is considered a relative contraindication to living donor liver transplantation (LDLTx) due to technical difficulty and ethical considerations. So far, there have been a few reported cases of LDLTx with PVT, most of which were treated by thrombectomy with or without a venous conduit. We report a case of LDLTx in an unexpected recipient with grade 4 diffuse PVT, which was successfully managed using a variceal left gastric vein and a deceased donor iliac vein conduit to create a "de novo portal vein" for splanchnic inflow to the right lobe. The patient experienced an uneventful postoperative course with normal blood flow in the de novo portal vein at 1-year follow up. This report demonstrated that a variceal collateral vein can be used as appropriate alternative inflow for the right lobe in LDLTx cases in which an unexpected PVT is encountered.

Original languageEnglish (US)
Pages (from-to)1422-1424
Number of pages3
JournalTransplantation Proceedings
Volume38
Issue number5
DOIs
StatePublished - Jun 1 2006
Externally publishedYes

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Living Donors
Portal Vein
Liver Transplantation
Thrombosis
Veins
Iliac Vein
Thrombectomy
Viscera
Stomach
Tissue Donors

All Science Journal Classification (ASJC) codes

  • Surgery
  • Transplantation

Cite this

Salvage Procedure for Unexpected Portal Vein Thrombosis in Living Donor Liver Transplantation. / Maluf, Daniel; Shim, I.; Posner, M.; Cotterell, A. H.; Fisher, R. A.

In: Transplantation Proceedings, Vol. 38, No. 5, 01.06.2006, p. 1422-1424.

Research output: Contribution to journalArticle

Maluf, Daniel ; Shim, I. ; Posner, M. ; Cotterell, A. H. ; Fisher, R. A. / Salvage Procedure for Unexpected Portal Vein Thrombosis in Living Donor Liver Transplantation. In: Transplantation Proceedings. 2006 ; Vol. 38, No. 5. pp. 1422-1424.
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