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Living donor liver transplantation with extensive caval thrombectomy for acute-on-chronic Budd-Chiari syndrome
- Source :
- Surgery Today. 41(7):1026-1028
- Publication Year :
- 2011
- Publisher :
- Springer Verlag, 2011.
-
Abstract
- The key consideration when performing living donor liver transplantation (LDLT) in patients with Budd-Chiari syndrome (BCS) is careful management of a stenotic or occluded inferior vena cava (IVC), because it is not possible to replace the recipient stenotic or occluded IVC with donor IVC as in cadaver donor transplantation. We describe how we performed LDLT with extensive thrombectomy in a patient with acute-on-chronic BCS with a totally thrombosed retrohepatic IVC. The operation was successful and the patient remains well, with follow-up images showing a patent IVC and hepatic veins. To our knowledge, LDLT for a BCS patient with severe extensive caval thrombus has never been reported before. We consider that the successful outcome of this patient clearly demonstrates the feasibility of our technique of extensive thrombectomy, without a vessel graft, to manage a stenotic or occluded IVC in LDLT in patients with BCS.<br />Surgery Today, 41(7), pp.1026-1028; 2011
- Subjects :
- Male
Budd-Chiari syndrome
medicine.medical_specialty
Vena Cava, Inferior
Cavoplasty
Inferior vena cava
Living Donors
medicine
Humans
In patient
Thrombus
Thrombectomy
business.industry
Living donor liver transplantation
General Medicine
Middle Aged
medicine.disease
Cadaver donor
Liver Transplantation
Surgery
Transplantation
medicine.vein
Acute Disease
Chronic Disease
Hepatic veins
Budd–Chiari syndrome
cardiovascular system
Radiology
business
Subjects
Details
- Language :
- English
- ISSN :
- 09411291 and 10261028
- Volume :
- 41
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Surgery Today
- Accession number :
- edsair.doi.dedup.....4e7731b230e63ad4a46fa01287fbd7c8