Dissemin is shutting down on January 1st, 2025

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Elsevier, Hepatobiliary and Pancreatic Diseases International, 1(15), p. 106-107

DOI: 10.1016/s1499-3872(15)60369-1

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Successful liver allograft inflow reconstruction with the right gastroepiploic vein

This paper is available in a repository.
This paper is available in a repository.

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Abstract

Portal vein thrombosis is a common complication in cirrhotic patients. When portal vein thrombectomy is not a suitable option, a large collateral vessel can be used for allograft venous inflow reconstruction. We describe an unusual case of successful portal revascularization using the right gastroepiploic vein. The patient underwent a cadaveric orthotopic liver transplantation with end-to-end anastomosis of the portal vein to the right gastroepiploic vein. Six months after liver transplantation the patient is well with good liver function. The use of the right gastroepiploic vein for allograft venous reconstruction is feasible and safe, with a great advantage of avoiding the need of venous jump graft.