Intimal dissection of the hepatic artery after thrombectomy as a cause of graft loss in pediatric living-related liver transplantation

Pediatric Transplantation
João Gilberto Maksoud-FilhoJoão Gilberto Maksoud

Abstract

HAT is the main cause of graft loss in pediatric living-related LTx. Revascularization of the graft by thrombectomy and re-anastomosis has been reported to be effective for graft salvage in cases of HAT and should be attempted when potential donors are not available for emergency re-transplantation. Immediate complications secondary to revascularization attempts in cases of HAT are not described. Late complications are mainly related to biliary tree ischemia. We report a case of child who experienced intimal hepatic artery dissection, which extended into intra-hepatic branches of the artery after a thrombectomy with a Fogarty balloon catheter in an attempt to restore arterial flow after HAT. This complication led to acute deterioration of the graft and the need for emergency re-transplantation.

References

Jun 1, 1991·Archives of Surgery·M A McGurrinW M Blackshear
Oct 1, 1988·Journal of Vascular Surgery·J L CronenwettH E Garrett
Oct 1, 1988·Journal of Pediatric Surgery·K C TanJ B Otte
Jan 1, 1984·Cardiovascular and Interventional Radiology·D L MillerJ L Doppman
Nov 27, 1995·Transplantation·Y HashikuraM Makuuchi
Jul 17, 1998·Transplant International : Official Journal of the European Society for Organ Transplantation·K F YoongA D Mayer
Jul 27, 1999·The British Journal of Surgery·Y SakamotoM Makuuchi

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Citations

Nov 27, 2014·Pediatric Transplantation·Seyed Kamran Hejazi KenariReza F Saidi
Feb 1, 2019·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Sehnaz TezcanMehmet Haberal

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