Portal Vein Stent Placement in Anastomotic Stenosis After Deceased Donor Liver Transplantation: A Case Report.


Journal

Transplantation proceedings
ISSN: 1873-2623
Titre abrégé: Transplant Proc
Pays: United States
ID NLM: 0243532

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 01 06 2021
revised: 27 07 2021
accepted: 24 08 2021
pubmed: 2 10 2021
medline: 1 12 2021
entrez: 1 10 2021
Statut: ppublish

Résumé

Vascular complications (VCs) after liver transplantation (LT) frequently result in graft and patient loss. The smaller vessels and the insufficient length for reconstruction in living donor LT and pediatric transplantation predispose patients to a higher incidence of VCs. Herein we present a case of portal vein stenosis (PVS) in an adult deceased donor LT recipient with portal vein thrombosis requiring extended thrombectomy at the time of LT. He presented with ascites 4 months after LT, was diagnosed with PVS, and was successfully treated with percutaneous transhepatic venoplasty and placement of a portal stent. This case highlights the importance of Doppler ultrasound as a screening modality for detection of VCs after LT and the pivotal role of endovascular repair as a first-line treatment for PVS.

Identifiants

pubmed: 34593252
pii: S0041-1345(21)00590-X
doi: 10.1016/j.transproceed.2021.08.035
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2779-2781

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Stylianos Kykalos (S)

Second Propedeutic Department of Surgery, Medical School of National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.

Elli Karatza (E)

Second Propedeutic Department of Surgery, Medical School of National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece. Electronic address: ellikaratza@gmail.com.

Eugenia Kotsifa (E)

Second Propedeutic Department of Surgery, Medical School of National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.

Paris Pappas (P)

Department of Radiology, Division of Interventional Radiology, Laiko General Hospital, Athens, Greece.

Georgios C Sotiropoulos (GC)

Second Propedeutic Department of Surgery, Medical School of National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece.

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Classifications MeSH