Two-Stage Liver Transplantation with Temporary Porto-Middle Hepatic Vein Shunt
Joint Authors
Bottino, Giuliano
Valente, Umberto
Di Domenico, Stefano
Varotti, Giovanni
Ferrari, Chiara
Diviacco, Pietro
Ferrante, Roberto
Casaccia, Marco
Andorno, Enzo
Morelli, Nicola
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-08-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Two-stage liver transplantation (LT) has been reported for cases of fulminant liver failure that can lead to toxic hepatic syndrome, or massive hemorrhages resulting in uncontrollable bleeding.
Technically, the first stage of the procedure consists of a total hepatectomy with preservation of the recipient's inferior vena cava (IVC), followed by the creation of a temporary end-to-side porto-caval shunt (TPCS).
The second stage consists of removing the TPCS and implanting a liver graft when one becomes available.
We report a case of a two-stage total hepatectomy and LT in which a temporary end-to-end anastomosis between the portal vein and the middle hepatic vein (TPMHV) was performed as an alternative to the classic end-to-end TPCS.
The creation of a TPMHV proved technically feasible and showed some advantages compared to the standard TPCS.
In cases in which a two-stage LT with side-to-side caval reconstruction is utilized, TPMHV can be considered as a safe and effective alternative to standard TPCS.
American Psychological Association (APA)
Varotti, Giovanni& Andorno, Enzo& Casaccia, Marco& Di Domenico, Stefano& Bottino, Giuliano& Diviacco, Pietro…[et al.]. 2010. Two-Stage Liver Transplantation with Temporary Porto-Middle Hepatic Vein Shunt. Journal of Transplantation،Vol. 2010, no. 2010, pp.1-3.
https://search.emarefa.net/detail/BIM-481580
Modern Language Association (MLA)
Varotti, Giovanni…[et al.]. Two-Stage Liver Transplantation with Temporary Porto-Middle Hepatic Vein Shunt. Journal of Transplantation No. 2010 (2010), pp.1-3.
https://search.emarefa.net/detail/BIM-481580
American Medical Association (AMA)
Varotti, Giovanni& Andorno, Enzo& Casaccia, Marco& Di Domenico, Stefano& Bottino, Giuliano& Diviacco, Pietro…[et al.]. Two-Stage Liver Transplantation with Temporary Porto-Middle Hepatic Vein Shunt. Journal of Transplantation. 2010. Vol. 2010, no. 2010, pp.1-3.
https://search.emarefa.net/detail/BIM-481580
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-481580