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Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation
Joint Authors
Pacheco-Moreira, Lúcio F.
Stoduto, Gustavo
Steinbrück, Klaus
Vasconcelos, Rafael
Fernandes, Reinaldo
Enne, Marcelo
Auel, Thomas
Bento, Giuliano
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-13
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
An adequate blood flow is directly related to graft survival in living donor liver transplantation.
However, in some cases, unfavorable conditions prevent the use of the hepatic artery for arterial reconstruction.
Herein, we report a case in which the recipient right gastroepiploic artery was used as an option for arterial reconstruction in adult-to-adult living donor liver transplantation.
Case Report.
A 62-year-old woman, with cirrhosis due to hepatitis B associated with hepatocellular carcinoma, was submitted to living donor liver transplantation.
During surgery, thrombosis of the hepatic artery with intimal dissection until the celiac trunk was observed, which precluded its use in arterial reconstruction.
We decided to use the right gastroepiploic artery for arterial revascularization of the liver graft.
Despite the discrepancy in size between donor hepatic artery and recipient right gastroepiploic artery, anastomosis was performed successfully.
Conclusions.
The use of the right gastroepiploic artery as an alternative for arterial revascularization of the liver graft in living donor liver transplantation should always be considered when the hepatic artery of the recipient cannot be used.
For performing this type of procedure, familiarity with microsurgical techniques by the surgical team is necessary.
American Psychological Association (APA)
Steinbrück, Klaus& Fernandes, Reinaldo& Enne, Marcelo& Vasconcelos, Rafael& Bento, Giuliano& Stoduto, Gustavo…[et al.]. 2014. Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation. Case Reports in Hepatology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017115
Modern Language Association (MLA)
Steinbrück, Klaus…[et al.]. Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation. Case Reports in Hepatology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1017115
American Medical Association (AMA)
Steinbrück, Klaus& Fernandes, Reinaldo& Enne, Marcelo& Vasconcelos, Rafael& Bento, Giuliano& Stoduto, Gustavo…[et al.]. Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation. Case Reports in Hepatology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017115
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017115