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Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation
Background. An adequate blood flow is directly related to graft survival in living donor liver transplantation. However, in some cases, unfavorable conditions prevent the use of the hepatic artery for arterial reconstruction. Herein, we report a case in which the recipient right gastroepiploic arter...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247938/ https://www.ncbi.nlm.nih.gov/pubmed/25478255 http://dx.doi.org/10.1155/2014/616251 |
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author | Steinbrück, Klaus Fernandes, Reinaldo Enne, Marcelo Vasconcelos, Rafael Bento, Giuliano Stoduto, Gustavo Auel, Thomas Pacheco-Moreira, Lúcio Filgueiras |
author_facet | Steinbrück, Klaus Fernandes, Reinaldo Enne, Marcelo Vasconcelos, Rafael Bento, Giuliano Stoduto, Gustavo Auel, Thomas Pacheco-Moreira, Lúcio Filgueiras |
author_sort | Steinbrück, Klaus |
collection | PubMed |
description | Background. An adequate blood flow is directly related to graft survival in living donor liver transplantation. However, in some cases, unfavorable conditions prevent the use of the hepatic artery for arterial reconstruction. Herein, we report a case in which the recipient right gastroepiploic artery was used as an option for arterial reconstruction in adult-to-adult living donor liver transplantation. Case Report. A 62-year-old woman, with cirrhosis due to hepatitis B associated with hepatocellular carcinoma, was submitted to living donor liver transplantation. During surgery, thrombosis of the hepatic artery with intimal dissection until the celiac trunk was observed, which precluded its use in arterial reconstruction. We decided to use the right gastroepiploic artery for arterial revascularization of the liver graft. Despite the discrepancy in size between donor hepatic artery and recipient right gastroepiploic artery, anastomosis was performed successfully. Conclusions. The use of the right gastroepiploic artery as an alternative for arterial revascularization of the liver graft in living donor liver transplantation should always be considered when the hepatic artery of the recipient cannot be used. For performing this type of procedure, familiarity with microsurgical techniques by the surgical team is necessary. |
format | Online Article Text |
id | pubmed-4247938 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-42479382014-12-04 Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation Steinbrück, Klaus Fernandes, Reinaldo Enne, Marcelo Vasconcelos, Rafael Bento, Giuliano Stoduto, Gustavo Auel, Thomas Pacheco-Moreira, Lúcio Filgueiras Case Reports Hepatol Case Report Background. An adequate blood flow is directly related to graft survival in living donor liver transplantation. However, in some cases, unfavorable conditions prevent the use of the hepatic artery for arterial reconstruction. Herein, we report a case in which the recipient right gastroepiploic artery was used as an option for arterial reconstruction in adult-to-adult living donor liver transplantation. Case Report. A 62-year-old woman, with cirrhosis due to hepatitis B associated with hepatocellular carcinoma, was submitted to living donor liver transplantation. During surgery, thrombosis of the hepatic artery with intimal dissection until the celiac trunk was observed, which precluded its use in arterial reconstruction. We decided to use the right gastroepiploic artery for arterial revascularization of the liver graft. Despite the discrepancy in size between donor hepatic artery and recipient right gastroepiploic artery, anastomosis was performed successfully. Conclusions. The use of the right gastroepiploic artery as an alternative for arterial revascularization of the liver graft in living donor liver transplantation should always be considered when the hepatic artery of the recipient cannot be used. For performing this type of procedure, familiarity with microsurgical techniques by the surgical team is necessary. Hindawi Publishing Corporation 2014 2014-11-16 /pmc/articles/PMC4247938/ /pubmed/25478255 http://dx.doi.org/10.1155/2014/616251 Text en Copyright © 2014 Klaus Steinbrück et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Steinbrück, Klaus Fernandes, Reinaldo Enne, Marcelo Vasconcelos, Rafael Bento, Giuliano Stoduto, Gustavo Auel, Thomas Pacheco-Moreira, Lúcio Filgueiras Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation |
title | Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation |
title_full | Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation |
title_fullStr | Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation |
title_full_unstemmed | Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation |
title_short | Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation |
title_sort | right gastroepiploic artery as an alternative for arterial reconstruction in living donor liver transplantation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247938/ https://www.ncbi.nlm.nih.gov/pubmed/25478255 http://dx.doi.org/10.1155/2014/616251 |
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