Successful Liver Transplantation in a Patient with a Thrombosed Portomesenteric System after Multiple Failed Shunts

Paolo Castaldo, Alan N. Langnas, Robert J. Stratta, Robert P. Lieberman, R. Patrick Wood, B. W. Shaw

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Combined portal and mesenteric vein thrombosis preventing restoration of adequate portal venous flow has been considered a contraindication to liver transplantation. We report a patient with failed splenorenal (SR), portocaval (PC), and mesocaval (MC) shunts, who despile (be absence of any obvious means for supplying portal venous inflow to a hepatic graft, successfully underwent orthotopic liver transplantation. A method of reconstruction of the portal vein with the use of vein grafts anastomosed to a large splanchnic venous collateral is described. This technique can be used in selected patients in whom orthotopic liver transplantation might otherwise be considered technically impossible.

Original languageEnglish (US)
Pages (from-to)506-508
Number of pages3
JournalThe American journal of gastroenterology
Volume86
Issue number4
DOIs
StatePublished - Apr 1991

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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