scholarly journals Living Donor Liver Transplantation with Renoportal Anastomosis for a Patient with Congenital Absence of the Portal Vein

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Hajime Uchida ◽  
Seisuke Sakamoto ◽  
Takanobu Shigeta ◽  
Ikumi Hamano ◽  
Hiroyuki Kanazawa ◽  
...  

A congenital absence of the portal vein (CAPV) is a rare disorder that may lead to an intrapulmonary shunt. A 14-year-old male with CAPV underwent living donor liver transplantation with a left lobe graft from his father. The portal vein reconstruction was achieved with a renoportal anastomosis using an interpositional graft from the native collateral vein, because portal venous system directly drains to the left renal vein without constructing the confluence of superior mesenteric vein and splenic vein. The patient is doing well with a normal liver function and mild hypoxemia.

2006 ◽  
Vol 41 (11) ◽  
pp. e9-e12 ◽  
Author(s):  
Wataru Sumida ◽  
Kenitiro Kaneko ◽  
Yukio Ogura ◽  
Takahisa Tainaka ◽  
Yasuyuki Ono ◽  
...  

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Wataru Nakanishi ◽  
Shigehito Miyagi ◽  
Kazuaki Tokodai ◽  
Atsushi Fujio ◽  
Toshiaki Kashiwadate ◽  
...  

Abstract Background Renoportal anastomosis is an option for the portal vein reconstruction of a liver transplantation with grade 4 portal vein thrombosis and a splenorenal shunt. Here, we report the case of gastrointestinal bleeding who underwent living donor liver transplantation (LDLT) with renoportal anastomosis. Case presentation Six-year-old female patient who underwent LDLT with renoportal anastomosis at 1 year of age had severe anemia with normal liver function during the follow-up period. The varices at the Roux-en-Y jejunum were considered the source of bleeding, and the compression of the left renal vein, which is known as a cause of Nutcracker syndrome, seemed to induce venous hypertension through the splenorenal shunt, which might induce the formation of the varices. She underwent percutaneous transhepatic sclerotherapy of the varices, and the anemia improved at her last follow-up, 6 months after sclerotherapy. This is the first reported case of Roux-en-Y jejunal varices bleeding related to the compression of the left renal vein after LDLT was performed with renoportal anastomosis. Conclusions Although renoportal anastomosis should be cautiously performed when there are no options for severe portal vein thrombosis, the status of the left renal vein and new collateral formation should be observed carefully during the follow-up period in pediatric cases of renoportal anastomosis.


2009 ◽  
Vol 15 (11) ◽  
pp. 1641-1643 ◽  
Author(s):  
Mureo Kasahara ◽  
Atsuko Nakagawa ◽  
Seisuke Sakamoto ◽  
Hideaki Tanaka ◽  
Takanobu Shigeta ◽  
...  

2009 ◽  
Vol 41 (10) ◽  
pp. 4214-4219 ◽  
Author(s):  
Y. Sanada ◽  
K. Mizuta ◽  
Y. Kawano ◽  
S. Egami ◽  
M. Hayashida ◽  
...  

2006 ◽  
Vol 12 (5) ◽  
pp. 845-849 ◽  
Author(s):  
Yuji Soejima ◽  
Tomoaki Taguchi ◽  
Keiko Ogita ◽  
Akinobu Taketomi ◽  
Tomoharu Yoshizumi ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document