Korean J Hepatobiliary Pancreat Surg.  2011 May;15(2):78-82. 10.14701/kjhbps.2011.15.2.78.

Liver Transplantation in Liver Cirrhosis Patients Accompanied by Portal Vein Thrombosis

• Kim BW

• KMID: 1980945
• DOI: http://doi.org/10.14701/kjhbps.2011.15.2.78

Abstract

Benign portal vein thrombosis (PVT) is a challenging complication of an otherwise successful liver transplantation. PVT is caused by various conditions and results in pathologic hemodynamics of hepatofugal diversion of porto-mesenteric blood flow. Thus, adequate restoration of portal blood flow to the liver graft is a major concern when trying to achieve successful liver transplantation in patients with PVT. This letter describes the surgical view point of PVT in liver transplantation.

Keyword

Portal vein thrombosis; Liver transplantation

MeSH Terms

Hemodynamics
Humans
Liver
Liver Cirrhosis
Liver Transplantation
Portal Vein
Thrombosis
Transplants

Figure

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  Fig. 1 Intraoperative measurement of portal flow using doppler flowmeter.

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  Fig. 2 (A) Preoperative CT scan shows a major portosystemic shunt is formed between splenic vein and left renal vein. (B) The operative findings of same patient showed splenectomy can interrupt spleno-renal shunt.

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