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

doi:10.1111/j.1572-0241.1991.tb07047.x

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 journal › Article › peer-review

16 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 language	English (US)
Pages (from-to)	506-508
Number of pages	3
Journal	The American journal of gastroenterology
Volume	86
Issue number	4
DOIs	https://doi.org/10.1111/j.1572-0241.1991.tb07047.x
State	Published - Apr 1991

ASJC Scopus subject areas

Hepatology
Gastroenterology

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10.1111/j.1572-0241.1991.tb07047.x

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title = "Successful Liver Transplantation in a Patient with a Thrombosed Portomesenteric System after Multiple Failed Shunts",

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.",

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AU - Castaldo, Paolo

AU - Langnas, Alan N.

AU - Stratta, Robert J.

AU - Lieberman, Robert P.

AU - Wood, R. Patrick

AU - Shaw, B. W.

PY - 1991/4

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N2 - 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.

AB - 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.

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

Abstract

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