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Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation : A Case Report
Joint Authors
Kinaci, Erdem
Yilmaz, Sezai
Kayaalp, Cuneyt
Otan, Emrah
Source
Case Reports in Transplantation
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-05-21
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Hepatic venous outflow obstruction following liver transplantation is rare but disastrous.
Here we described a 14-year-old boy who underwent a split right lobe liver transplantation with modified (side-to-side) piggyback technique which resulted in hepatic venous outflow obstruction.
When the liver graft was lifted up, the outflow drainage returned to normal but when it was placed back into the abdomen, the outflow obstruction recurred.
Because reanastomosis would have resulted in hepatic reischemia, alternatively, a second infrahepatic cavocavostomy was planned without requiring hepatic reischemia.
During this procedure, the first assistant hung the liver up to provide sufficient outflow and the portal inflow of the graft continued as well.
We only clamped the recipient’s infrahepatic vena cava and the caudal cuff of the graft cava.
After the second end-to-side cavocaval anastomosis, the graft was placed in its orthotopic position and there was no outflow problem anymore.
The patient tolerated the procedure well and there were no problems after three months of follow-up.
A second cavocavostomy can provide an extra bypass for some hepatic venous outflow problems after piggyback anastomosis by avoiding hepatic reischemia.
American Psychological Association (APA)
Kinaci, Erdem& Kayaalp, Cuneyt& Yilmaz, Sezai& Otan, Emrah. 2014. Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation : A Case Report. Case Reports in Transplantation،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-494970
Modern Language Association (MLA)
Kinaci, Erdem…[et al.]. Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation : A Case Report. Case Reports in Transplantation No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-494970
American Medical Association (AMA)
Kinaci, Erdem& Kayaalp, Cuneyt& Yilmaz, Sezai& Otan, Emrah. Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation : A Case Report. Case Reports in Transplantation. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-494970
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-494970