Extensive Thrombosis of the Portal Vein and Vena Cava After Orthotopic Liver Transplantation With Cavoportal Hemitransposition: A Case Report

2008 ◽  
Vol 40 (5) ◽  
pp. 1777-1779 ◽  
Author(s):  
F.G. Li ◽  
L.N. Yan ◽  
W.T. Wang
Keyword(s):  
Liver Transplantation ◽  
Case Report ◽  
Portal Vein ◽  
Orthotopic Liver Transplantation ◽  
Vena Cava

scholarly journals ABERNETHY MALFORMATION AS A RARE INDICATION FOR LIVER TRANSPLANTATION: CASE REPORT

2019 ◽  
Vol 141 (5-6) ◽  
pp. 134-137
Keyword(s):  
Liver Transplantation ◽  
Case Report ◽  
Portal Vein ◽  
Liver Tumors ◽  
Splenic Vein ◽  
Vena Cava ◽  
Portal Blood ◽  
Type I ◽  
Abernethy Malformation ◽  
Congenital Cardiac Anomalies

Abernethy malformation or congenital agenesis of the portal vein (CAPV) is a rare malformation of the abdominal splanchnic venous system. This malformation is commonly found in children and is often associated with other malformations such as congenital cardiac anomalies and skeletal system disorders, as well as liver tumors. There are two types of Abernethy malformation. In type I, portal blood bypasses the liver completely, with the superior mesenteric vein and the splenic vein draining into the inferior vena cava separately (type Ia), or together (type Ib). There are no intrahepatic portal vein branches in the liver. Type II is a partial portocaval shunt in which portal blood partially supplies the liver. There is no unified therapeutic approach for all patients with Abernethy malformation, however, liver transplantation is recommended in patients with liver disease (encephalopathy, poor liver function) and those with liver tumors. In this case report we present a case of Abernethy type Ib malformation in a 17-year-old patient with chronic malaise and uper abdominal pain. During diagnostic work-up, an unresectable liver tumor was found and the patient was successfully treated with orthotopic liver transplantation.

scholarly journals Prolonged Anhepatic Phase after Liver Transplantation Failure Followed by ABO Incompatible Liver Transplantation: A Case Report and Review of the Literature

2020 ◽  
pp. 1-5
Author(s):  
Olivier Zerbib ◽  
Benjamin Zribi ◽  
David Dahan ◽  
Eviatar Nesher ◽  
Jonathan Cohen ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Intensive Care ◽  
Case Report ◽  
Portal Vein ◽  
Liver Failure ◽  
Orthotopic Liver Transplantation ◽  
Supportive Therapy ◽  
Successful Outcome ◽  
Biliary Cirrhosis ◽  
Fulminant Liver Failure

Objective: To describe the experience with a multimodal therapeutic approach in a patient who developed toxic liver syndrome and fulminant hepatic failure following orthotopic liver transplantation (OLT) as a result of occlusion of the portal vein. Setting: Department of Intensive Care. Patient: A patient with liver cirrhosis secondary to autoimmune hepatitis and primary biliary cirrhosis who underwent orthotopic liver transplantation (OLT). Interventions: Transplant hepatectomy, plasmapheresis and retransplantation. Case Report: A 39-year-old man underwent an elective OLT. A routine postoperative doppler ultrasound examination a few hours after surgery revealed portal vein thrombosis. Attempts at recanalization failed, and the patient developed acute fulminant liver failure, which remained resistant to supportive therapy. A transplant hepatectomy was performed 9 hours later and plasmapheresis started. Following a 10-hour anhepatic period, the patient received a second liver, from an ABO-incompatible donor. The patient underwent column plasmapheresis and subsequent splenectomy to remove anti-B antibody to preserve the incompatible transplanted liver from immunogenic complications. The patient spent a total of 21 days in the Intensive Care Unit (ICU) before being discharged to a step-down ward. Conclusion: Our experience suggests that multimodal therapy, including transplant hepatectomy, plasmapheresis and retransplantation of an even non-ABO compatible liver may result in the successful outcome in patients with acute fulminant liver failure complicating OLT.

scholarly journals Hemodynamic profile and tissular oxygenation in orthotopic liver transplantation: Influence of hepatic artery or portal vein revascularization of the graft

2006 ◽  
Vol 12 (11) ◽  
pp. 1607-1614 ◽  
Author(s):  
Carlos Moreno ◽  
Antoni Sabaté ◽  
Joan Figueras ◽  
Imma Camprubí ◽  
Antonia Dalmau ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Hepatic Artery ◽  
Orthotopic Liver Transplantation ◽  
Hemodynamic Profile

Liver Transplantation in Cases of Portal Vein Thrombosis in the Recipient: A Case Report and Review of the Various Options

2011 ◽  
Vol 43 (9) ◽  
pp. 3490-3492 ◽  
Author(s):  
D. Germanova ◽  
V. Lucidi ◽  
A. Buggenhout ◽  
N. Boon ◽  
N. Bourgeois ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Case Report ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Vein Thrombosis
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