Portal vein thrombosis (PVT) is a frequent finding in liver transplantation, the management of which depends mainly on its extent. In cases of mild to moderate PVT, a low dissection of the portal trunk, a jump graft, or direct implantation of graft portal vein into large venous collaterals or thrombectomy offer alternatives. For severe PVT anecdotal reports suggest that cavoportal hemitransposition, portal arterialization, or combined liver and intestine transplantation may be attempted, although the results to date are not satisfactory. When extensive perivenous and venous inflammatory changes reach the infrapancreatic region, liver transplantation probably should not be performed due to the high mortality rate.
Orlando, G., De Luca, L., Toti, L., Zazza, S., Angelico, M., Casciani, C., et al. (2004). Liver transplantation in the presence of portal vein thrombosis: report from a single center. TRANSPLANTATION PROCEEDINGS, 199-202 [10.1016/j.transproceed.2003.11.014].
Liver transplantation in the presence of portal vein thrombosis: report from a single center.
TOTI, LUCA;ANGELICO, MARIO;TISONE, GIUSEPPE
2004-01-01
Abstract
Portal vein thrombosis (PVT) is a frequent finding in liver transplantation, the management of which depends mainly on its extent. In cases of mild to moderate PVT, a low dissection of the portal trunk, a jump graft, or direct implantation of graft portal vein into large venous collaterals or thrombectomy offer alternatives. For severe PVT anecdotal reports suggest that cavoportal hemitransposition, portal arterialization, or combined liver and intestine transplantation may be attempted, although the results to date are not satisfactory. When extensive perivenous and venous inflammatory changes reach the infrapancreatic region, liver transplantation probably should not be performed due to the high mortality rate.Questo articolo è pubblicato sotto una Licenza Licenza Creative Commons
