Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation

Portal vein thrombosis is observed in up to 10% of liver transplant candidates, hindering execution of the procedure. A dilated gastric vein is an alternative to portal vein reconstruction and decompression of splanchnic bed. We present two cases of patients with portal cavernoma and dilated left ga...

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Detalles Bibliográficos
Autores principales: Teixeira, Uirá Fernandes, Machry, Mayara Christ, Goldoni, Marcos Bertozzi, Kruse, Cristine, Diedrich, João Alfredo, Rodrigues, Pablo Duarte, Giacomazzi, Caroline Becker, Negri, Estéfano Aurélio, Koop, Matheus, Gomes, Carlos Gustavo Spode, Sampaio, José Artur, Fontes, Paulo Roberto Ott, Waechter, Fábio Luiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4993930/
https://www.ncbi.nlm.nih.gov/pubmed/27595034
http://dx.doi.org/10.1155/2016/8289045
Descripción
Sumario:Portal vein thrombosis is observed in up to 10% of liver transplant candidates, hindering execution of the procedure. A dilated gastric vein is an alternative to portal vein reconstruction and decompression of splanchnic bed. We present two cases of patients with portal cavernoma and dilated left gastric vein draining splanchnic bed who underwent liver transplantation. The vein was dissected and sectioned near the cardia; the proximal segment was ligated with suture and the distal segment was anastomosed to the donor portal vein. Gastroportal anastomosis is an excellent option for portal reconstruction in the presence of thrombosis or hypoplasia. It allows an adequate splanchnic drainage and direction of hepatotrophic factors to the graft.

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