Ligation of Left Renal Vein for Spontaneous Splenorenal Shunt to Prevent Portal Hypoperfusion after Orthotopic Liver Transplantation
Joint Authors
Winkler, Michael
Kousoulas, Lampros
Lehner, Frank
Klempnauer, Juergen
Ringe, Kristina Imeen
Richter, Nicolas
Helfritz, Fabian
Source
Case Reports in Transplantation
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-28
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
We report a case of recovered portal flow by ligation of the left renal vein on the first postoperative day after orthotopic liver transplantation of a 54-year-old female with alcoholic liver cirrhosis, chronic kidney failure, and spontaneous splenorenal shunt.
After reperfusion, Doppler ultrasonography showed almost total diversion of the portal flow into the existing splenorenal shunt, but because of severe coagulopathy and diffuse bleeding, ligation of the shunt was not attempted.
A programmed relaparotomy was performed on the first postoperative day, and the left renal vein was ligated just to the left of the inferior vena cava.
Portal flows subsequently increased to 37 cm/sec, and the patient presented a good and stable liver function.
We conclude that patients with known preoperative splenorenal shunts should be closely monitored, and if the portal flow becomes insufficient, ligation of the left renal vein should be attempted in order to optimize the portal perfusion of the liver.
American Psychological Association (APA)
Kousoulas, Lampros& Ringe, Kristina Imeen& Winkler, Michael& Lehner, Frank& Richter, Nicolas& Klempnauer, Juergen…[et al.]. 2013. Ligation of Left Renal Vein for Spontaneous Splenorenal Shunt to Prevent Portal Hypoperfusion after Orthotopic Liver Transplantation. Case Reports in Transplantation،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-502597
Modern Language Association (MLA)
Kousoulas, Lampros…[et al.]. Ligation of Left Renal Vein for Spontaneous Splenorenal Shunt to Prevent Portal Hypoperfusion after Orthotopic Liver Transplantation. Case Reports in Transplantation No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-502597
American Medical Association (AMA)
Kousoulas, Lampros& Ringe, Kristina Imeen& Winkler, Michael& Lehner, Frank& Richter, Nicolas& Klempnauer, Juergen…[et al.]. Ligation of Left Renal Vein for Spontaneous Splenorenal Shunt to Prevent Portal Hypoperfusion after Orthotopic Liver Transplantation. Case Reports in Transplantation. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-502597
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-502597