How to handle a huge portosystemic shunt in adult living donor liver transplantation with a small-for-size graft: Report of a case

Surgery Today

Volumn 39, Issue 7, 2009, Pages 637-640

  Shirouzu, Yasumasa ^a   Ohya, Yuki ^a   Tsukamoto, Yukika ^a   Yamamoto, Hidekazu ^a   Lee, Kwang Jong ^a   Okajima, Hideaki ^a   Asonuma, Katsuhiro ^a   Inomata, Yukihiro ^a  

^a KUMAMOTO UNIVERSITY   (Japan)

Author keywords

Portal hypoperfusion; Portosystemic shunt; Rejection

Indexed keywords

STEROID;

ACUTE GRAFT REJECTION; ADULT; ANGIOGRAPHY; ARTICLE; BRAIN DISEASE; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; DOPPLER FLOWMETRY; GRAFT RECIPIENT; HOSPITAL DISCHARGE; HUMAN; IMPLANT; LIVER BIOPSY; LIVER CIRRHOSIS; LIVER GRAFT; LIVER GRAFT REJECTION; LIVER TRANSPLANTATION; MALE; ORGAN DONOR; PORTAL PHLEBOGRAPHY; PORTAL VEIN BLOOD FLOW; PORTOSYSTEMIC ANASTOMOSIS; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; SPLENECTOMY; SPLENORENAL SHUNT;

ADULT; HUMANS; LIGATION; LIVER; LIVER CIRCULATION; LIVER CIRRHOSIS; LIVER TRANSPLANTATION; LIVING DONORS; MALE; ORGAN SIZE; SPLANCHNIC CIRCULATION; SPLENIC VEIN; VASCULAR DISEASES;

EID: 67651163662     PISSN: 09411291     EISSN: 14362813     Source Type: Journal    
DOI: 10.1007/s00595-008-3886-4     Document Type: Article

References (12)

1. K. Tanaka S. Uemoto Y. Tokunaga S. Fujita K. Sano T. Nishizawa 1993 Surgical techniques and innovations in living related liver transplantation Ann Surg 217 82 91 (Pubitemid 23033223)
2. S. Eguchi M. Takatsuki M. Hidaka Y. Tajima T. Kanematsu 2008 Evolution of living donor liver transplantation over 10 years: experience of a single center Surg Today 38 795 800
3. C.M. Lo S.T. Fan C.L. Liu W.I. Wei R.J. Lo C.L. Lai 1997 Adult-toadult living donor liver transplantation using extended right lobe grafts Ann Surg 226 261 269
4. S. Yagi T. Iida K. Taniguchi T. Hori T. Hamada K. Fujii 2005 Impact of portal venous pressure on regeneration and graft damage after living-donor liver transplantation Liver Transpl 11 68 75 (Pubitemid 40124444)
5. T. Ito T. Kiuchi H. Yamamoto F. Oike Y. Ogura Y. Fujimoto 2003 Changes in portal venous pressure in the early phase after living donor liver transplantation: pathogenesis and clinical implications Transplantation 75 1313 1317 (Pubitemid 36513040)
6. O. Boillot B. Delafosse I. Mechet C. Boucaud M. Pouyet 2002 Small-for-size partial liver graft in an adult recipient; a new transplant technique Lancet 359 406 407 (Pubitemid 34158953)
7. M. Masetti A. Siniscalchi L. De Pietri V. Braglia F. Benedetto N. Di Cautero 2004 Living donor liver transplantation with left liver graft Am J Transplant 4 1713 1716 (Pubitemid 39312309)
8. M. Fujimoto F. Moriyasu T. Nada Y. Suginoshita Y. Ito K. Nishikawa 1995 Influence of spontaneous portosystemic collateral pathways on portal hemodynamics in living-related liver transplantation in children. Doppler ultrasonographic study Transplantation 60 41 45
9. H. Sadamori T. Yagi H. Matsukawa H. Matsuda S. Shinoura Y. Umeda 2008 The outcome of living donor liver transplantation with prior spontaneous large portosystemic shunts Transpl Int 21 156 162
10. T. Oura M. Taniguchi T. Shimamura T. Suzuki K. Yamashita M. Uno 2008 Does the permanent portacaval shunt for a small-for-size graft in a living donor liver transplantation do more harm than good? Am J Transplant 8 250 252
11. S. Yokoyama M. Kasahara A. Fukuda S. Uemoto S. Nosaka 2007 Balloon-occluded retrograde transvenous obliteration in a patient with hyperammonemic encephalopathy after living donor liver transplantation Liver Transpl 13 1201 1202 (Pubitemid 47305045)
12. Y. Sato S. Yamamoto T. Takeishi K. Hirano T. Kobayashi T. Kato 2006 Management of major portosystemic shunting in small-for-size adult living-related donor liver transplantation with a left-sided graft liver Surg Today 36 354 360