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Living Donor Liver Transplantation with Renoportal Anastomosis for a Patient with Congenital Absence of the Portal Vein

A congenital absence of the portal vein (CAPV) is a rare disorder that may lead to an intrapulmonary shunt. A 14-year-old male with CAPV underwent living donor liver transplantation with a left lobe graft from his father. The portal vein reconstruction was achieved with a renoportal anastomosis usin...

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Detalles Bibliográficos
Autores principales: Uchida, Hajime, Sakamoto, Seisuke, Shigeta, Takanobu, Hamano, Ikumi, Kanazawa, Hiroyuki, Fukuda, Akinari, Karaki, Chiaki, Nakazawa, Atsuko, Kasahara, Mureo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3471411/
https://www.ncbi.nlm.nih.gov/pubmed/23091767
http://dx.doi.org/10.1155/2012/670289
Descripción
Sumario:A congenital absence of the portal vein (CAPV) is a rare disorder that may lead to an intrapulmonary shunt. A 14-year-old male with CAPV underwent living donor liver transplantation with a left lobe graft from his father. The portal vein reconstruction was achieved with a renoportal anastomosis using an interpositional graft from the native collateral vein, because portal venous system directly drains to the left renal vein without constructing the confluence of superior mesenteric vein and splenic vein. The patient is doing well with a normal liver function and mild hypoxemia.