scholarly journals Left Renal Vein Ligation: A Technique to Mitigate Low Portal Flow from Splenic Vein Siphon during Liver Transplantation

2011 ◽  
Vol 11 (8) ◽  
pp. 1743-1747 ◽  
Author(s):  
R. R. Slater ◽  
N. Jabbour ◽  
A. Abou Abbass ◽  
V. Patil ◽  
J. Hundley ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Splenic Vein ◽  
Portal Flow

Renal Implications of Left Renal Vein Ligation for Portal Flow Augmentation in Liver Transplantation

2021 ◽  
Author(s):  
Sadhana Shankar ◽  
Ashwin Rammohan ◽  
Balaji Balasubramanian ◽  
Kumar Palaniappan ◽  
Rajesh Rajalingam ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Portal Flow

scholarly journals Ligation of Left Renal Vein for Spontaneous Splenorenal Shunt to Prevent Portal Hypoperfusion after Orthotopic Liver Transplantation

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Lampros Kousoulas ◽  
Kristina Imeen Ringe ◽  
Michael Winkler ◽  
Frank Lehner ◽  
Nicolas Richter ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Orthotopic Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Chronic Kidney Failure ◽  
Splenorenal Shunt ◽  
Portal Flow ◽  
Portal Hypoperfusion ◽  
Severe Coagulopathy

We report a case of recovered portal flow by ligation of the left renal vein on the first postoperative day after orthotopic liver transplantation of a 54-year-old female with alcoholic liver cirrhosis, chronic kidney failure, and spontaneous splenorenal shunt. After reperfusion, Doppler ultrasonography showed almost total diversion of the portal flow into the existing splenorenal shunt, but because of severe coagulopathy and diffuse bleeding, ligation of the shunt was not attempted. A programmed relaparotomy was performed on the first postoperative day, and the left renal vein was ligated just to the left of the inferior vena cava. Portal flows subsequently increased to 37 cm/sec, and the patient presented a good and stable liver function. We conclude that patients with known preoperative splenorenal shunts should be closely monitored, and if the portal flow becomes insufficient, ligation of the left renal vein should be attempted in order to optimize the portal perfusion of the liver.

Portal Steal Syndrome From a Large Linton’s Splenorenal Shunt after Liver Transplantation: Successful Endovascular Management Through Off-Label Application of a 30 mm Amplatzer Cardiac Plug

2022 ◽  
pp. 153857442110686
Author(s):  
Leonardo Centonze ◽  
Ivan Vella ◽  
Francesco Morelli ◽  
Giuliana Checchini ◽  
Riccardo De Carlis ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Splenic Vein ◽  
Past Medical History ◽  
Endovascular Management ◽  
Portal Flow ◽  
Off Label ◽  
Steal Syndrome ◽  
Early Allograft Dysfunction ◽  
Surgical Shunt ◽  
Radiologic Evidence

A 34-year-old patient underwent liver transplantation for progressive hepatic failure in the setting of congenital hepatic fibrosis. In past medical history, the patient had undergone splenectomy with proximal Linton’s splenorenal surgical shunt creation for symptomatic portal hypertension with hypersplenism. The patient developed an early allograft dysfunction, with radiologic evidence of a reduced portal flow associated to portal steal from the patent surgical shunt. The patient was successfully treated through endovascular placement of a 30 mm Amplatzer cardiac plug at the origin of the splenic vein.

scholarly journals A Case of Left Renal Vein Ligation in a Patient with Solitary Left Kidney Undergoing Liver Transplantation to Control Splenorenal Shunt and Improve Portal Venous Flow

2017 ◽  
Vol 18 ◽  
pp. 1086-1089
Author(s):  
Rodrigo B. Martino ◽  
Eserval Rocha Júnior ◽  
Valdano Manuel ◽  
Vinicius Rocha-Santos ◽  
Luis Augusto C. D\'Albuquerque ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Left Kidney ◽  
Splenorenal Shunt ◽  
Portal Venous Flow ◽  
Venous Flow

scholarly journals Bleeding from jejunal varices formed at the Roux-en-Y jejunum site caused by the compression of the left renal vein after living donor liver transplantation with renoportal anastomosis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Wataru Nakanishi ◽  
Shigehito Miyagi ◽  
Kazuaki Tokodai ◽  
Atsushi Fujio ◽  
Toshiaki Kashiwadate ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Renal Vein ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Left Renal Vein ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Vein Thrombosis

Abstract Background Renoportal anastomosis is an option for the portal vein reconstruction of a liver transplantation with grade 4 portal vein thrombosis and a splenorenal shunt. Here, we report the case of gastrointestinal bleeding who underwent living donor liver transplantation (LDLT) with renoportal anastomosis. Case presentation Six-year-old female patient who underwent LDLT with renoportal anastomosis at 1 year of age had severe anemia with normal liver function during the follow-up period. The varices at the Roux-en-Y jejunum were considered the source of bleeding, and the compression of the left renal vein, which is known as a cause of Nutcracker syndrome, seemed to induce venous hypertension through the splenorenal shunt, which might induce the formation of the varices. She underwent percutaneous transhepatic sclerotherapy of the varices, and the anemia improved at her last follow-up, 6 months after sclerotherapy. This is the first reported case of Roux-en-Y jejunal varices bleeding related to the compression of the left renal vein after LDLT was performed with renoportal anastomosis. Conclusions Although renoportal anastomosis should be cautiously performed when there are no options for severe portal vein thrombosis, the status of the left renal vein and new collateral formation should be observed carefully during the follow-up period in pediatric cases of renoportal anastomosis.

Sign in / Sign up

Export Citation Format

Share Document