Portal vein arterialization using an accessory right hepatic artery in liver transplantation. 2013

Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
Division of Transplantation, Department of Surgery, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA. spaloyo@med.miami.edu

Portal vein thrombosis remains to be a challenging issue during liver transplantation even with the acquisition of innovative surgical techniques and years of experience. Most frequently, an initial eversion thromboendovenectomy is performed and depending on the extent of thrombosis and intraoperative findings, further revascularization options include venous jump grafts, portocaval hemitransposition, renoportal anastomosis or portal vein arterialization. Reports on these surgical approaches are limited although with acceptable outcomes. We present a 64-year-old patient with hepatitis C cirrhosis who underwent orthotopic liver transplantation with portal vein arterialization using an accessory right hepatic artery. Liver graft function has remained stable four years after transplant with notable aneurysmal dilatation of the portal vein.

UI MeSH Term Description Entries
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D008103 Liver Cirrhosis Liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules. Cirrhosis, Liver,Fibrosis, Liver,Hepatic Cirrhosis,Liver Fibrosis,Cirrhosis, Hepatic
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011169 Portal Vein A short thick vein formed by union of the superior mesenteric vein and the splenic vein. Portal Veins,Vein, Portal,Veins, Portal
D006085 Graft Survival The survival of a graft in a host, the factors responsible for the survival and the changes occurring within the graft during growth in the host. Graft Survivals,Survival, Graft,Survivals, Graft
D006499 Hepatic Artery A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum. Arteries, Hepatic,Artery, Hepatic,Hepatic Arteries
D006526 Hepatitis C INFLAMMATION of the LIVER in humans caused by HEPATITIS C VIRUS, a single-stranded RNA virus. Its incubation period is 30-90 days. Hepatitis C is transmitted primarily by contaminated blood parenterally and is often associated with transfusion and intravenous drug abuse. However, in a significant number of cases, the source of hepatitis C infection is unknown. Hepatitis, Viral, Non-A, Non-B, Parenterally-Transmitted,Parenterally-Transmitted Non-A, Non-B Hepatitis,PT-NANBH,Parenterally Transmitted Non A, Non B Hepatitis
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000714 Anastomosis, Surgical Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side. Surgical Anastomosis,Anastomoses, Surgical,Surgical Anastomoses

Related Publications

Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
October 2022, Updates in surgery,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
November 2011, Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
February 1989, Transplantation proceedings,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
July 2000, Transplantation,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
November 2000, Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
March 2004, Transplantation,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
September 2014, World journal of gastroenterology,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
August 2018, Hepatobiliary & pancreatic diseases international : HBPD INT,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
January 2007, Transplantation proceedings,
Siegfredo Paloyo, and Seigo Nishida, and Ji Fan, and Akin Tekin, and Gennaro Selvaggi, and David Levi, and Andreas Tzakis
January 1998, Transplant international : official journal of the European Society for Organ Transplantation,
Copied contents to your clipboard!