Source:http://linkedlifedata.com/resource/pubmed/id/16797321
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
2006-6-26
|
pubmed:abstractText |
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.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jun
|
pubmed:issn |
0041-1345
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
38
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1422-4
|
pubmed:meshHeading |
pubmed-meshheading:16797321-Humans,
pubmed-meshheading:16797321-Iliac Vein,
pubmed-meshheading:16797321-Living Donors,
pubmed-meshheading:16797321-Male,
pubmed-meshheading:16797321-Middle Aged,
pubmed-meshheading:16797321-Nephrectomy,
pubmed-meshheading:16797321-Portal Vein,
pubmed-meshheading:16797321-Salvage Therapy,
pubmed-meshheading:16797321-Stomach,
pubmed-meshheading:16797321-Thrombosis,
pubmed-meshheading:16797321-Tissue and Organ Harvesting,
pubmed-meshheading:16797321-Treatment Outcome
|
pubmed:year |
2006
|
pubmed:articleTitle |
Salvage procedure for unexpected portal vein thrombosis in living donor liver transplantation.
|
pubmed:affiliation |
Division of Transplantation Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, Virginia 23298-0248, USA.
|
pubmed:publicationType |
Journal Article,
Case Reports
|