Isolated right hepatic vein obstruction after piggyback liver transplantation

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Federico AucejoCharles M Miller

Abstract

The "piggyback" technique for liver transplantation has gained worldwide acceptance. Still, complications such as outflow obstruction have been observed, usually attributable to technical errors such as small-caliber anastomosis of the suprahepatic vena cava, twisting, or kinking. Iatrogenic Budd-Chiari syndrome after piggyback liver transplantation has been reported as a consequence of obstruction involving the entire anastomosis (usually the 3 hepatic veins). Here we describe technical issues, clinical presentation, diagnosis, and treatment of 3 cases in which outflow obstruction affected only the right hepatic vein. In conclusion, all 3 patients developed recurrent ascites requiring angioplasty and/or stent placement across the right hepatic vein to alleviate the symptoms.

References

Nov 1, 1985·Seminars in Liver Disease·T E StarzlB W Shaw
Nov 30, 1968·British Medical Journal·R Y Calne, R Williams
Oct 1, 1984·Annals of Surgery·B W ShawT E Starzl
Aug 1, 1994·Archives of Surgery·M G FleitasG Solares
Jul 1, 1996·Cardiovascular and Interventional Radiology·G K NazarianD W Hunter
Sep 29, 1999·Transplantation Proceedings·P ParrillaP Ramirez
Jun 7, 2002·Journal of Vascular and Interventional Radiology : JVIR·Gi-Young KoSung Gyu Lee
Apr 6, 2004·The Surgical Clinics of North America·Koichi TanakaSatoshi Kaihara
Feb 26, 2005·Transplant International : Official Journal of the European Society for Organ Transplantation·Matteo CesconAntonino Cavallari

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Citations

Dec 19, 2007·Techniques in Vascular and Interventional Radiology·Michael D Darcy
Jul 31, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Alan WiggJohn Chen
Mar 15, 2008·Liver International : Official Journal of the International Association for the Study of the Liver·John D HortonJorge A Ortiz
Apr 26, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Hynek MergentalKoert P de Jong
Nov 30, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Matteo CesconAntonio Daniele Pinna
Dec 15, 2012·Expert Review of Gastroenterology & Hepatology·Ross MacNicholasDhiraj Tripathi
Jul 26, 2017·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Bartley ThornburgRiad Salem

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