Portal vein thrombosis in patients with liver cirrhosis and its impact on early and long‐term outcomes after liver transplantation

2019 ◽  
Vol 73 (3) ◽  
pp. e13309 ◽  
Author(s):  
Ahad Eshraghian ◽  
Saman Nikeghbalian ◽  
Kourosh Kazemi ◽  
Mohsenreza Mansoorian ◽  
Alireza Shamsaeefar ◽  
...  
2018 ◽  
Vol 18 (9) ◽  
pp. 2220-2228 ◽  
Author(s):  
A. C. B. S. Cavalcante ◽  
C. E. Zurstrassen ◽  
F. C. Carnevale ◽  
R. P. S. Pugliese ◽  
E. A. Fonseca ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Paolo Magistri ◽  
Giuseppe Tarantino ◽  
Tiziana Olivieri ◽  
Annarita Pecchi ◽  
Roberto Ballarin ◽  
...  

Background. In the context of cirrhosis, portal vein thrombosis (PVT) is present in 2.1% to 26% of patients. PVT is no longer considered an absolute contraindication for liver transplantation, and nowadays, surgical strategies depend on the extent of PVT. Complete PVT is associated with higher morbidity rates and poor prognosis, while comparable long-term outcomes can be achieved as long as physiological portal inflow is restored. Materials and Methods. We report our experience with a 45-year-old patient undergoing liver transplant with a PVT (stage III-b). To restore portal vein inflow to the liver, an extra-anatomic jump graft from the right colic vein with donor iliac vein interposition was constructed. Results. The patient recovered well, with a progressive improvement of the general conditions, and was finally discharged on p.o.d. 14. No anastomotic defects were found at the postoperative CT scan 10 months after the surgery. Conclusion. Our technical innovation represents a valid and safe alternative to the cavoportal hemitransposition, providing a proper flow restoration and reproducing a physiological setting, while avoiding the complications related to the cavoportal shunt. We believe that the reconstitution of liver portal inflow should be obtained with the most physiological approach possible and considering long-term liver function.


2020 ◽  
Vol 50 (3) ◽  
pp. 652-660 ◽  
Author(s):  
Leonard Naymagon ◽  
Douglas Tremblay ◽  
Nicole Zubizarreta ◽  
Erin Moshier ◽  
Thomas Schiano ◽  
...  

2010 ◽  
Vol 90 ◽  
pp. 844
Author(s):  
A. P. Ramos ◽  
C. P.H. Reigada ◽  
E. C. Ataide ◽  
A. R. Cardoso ◽  
C. A. Caruy ◽  
...  

2020 ◽  
Vol 158 (6) ◽  
pp. S-1391-S-1392
Author(s):  
Sergio L. Botello Partida ◽  
Ignacio Garcia-juarez ◽  
Leticia M. Martínez Martínez ◽  
Alejandra Tepox ◽  
José M. Jiménez-Gutiérrez

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