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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.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Choi S,Kim KK,Lee WS,Kang JM,Park YH

doi

10.1016/j.transproceed.2016.03.029

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

3153-3155

issue

9

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(16)30137-3

journal_volume

48

pub_type

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