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Portal Revascularization in the Setting of Cavernous Transformation Through a Paracholedocal Vein: A Case Report
Authors: Rotellar, F. (Fernando)
Cienfuegos, J.A. (Javier A.)
Bueno, A. (Álvaro)
Marti-Cruchaga, P. (Pablo)
Valenti, V. (Víctor)
Zozaya, G. (Gabriel)
Pardo, F. (Fernando)
Keywords: Portal Vein/surgery
Vascular Surgical Procedures
Issue Date: 2010
Publisher: Elsevier
Publisher version:
ISSN: 0041-1345
Citation: Rotellar F, Cienfuegos JA, Bueno A, Martí P, Valentí V, Zozaya G, Pardo F. Portal revascularization in the setting of cavernous transformation through a paracholedocal vein: a case report. Transplant Proc. 2010 Oct;42(8):3079-80.
Diffuse thrombosis of the entire portal system (PVT) and cavernomatous transformation of the portal vein (CTPV) represents a demanding challenge in liver transplantation. We present the case of a patient with nodular regenerative hyperplasia and recurrent episodes of type B hepatic encephalopathy concomitant with PVT as well as CTPV, successfully treated with orthotopic liver transplantation. The portal inflow to the graft was carried out through the confluence of 2 thin paracholedochal varicose veins, obtaining good early graft function and recovery of the encephalopatic episodes. This alternative should be kept in mind as an option to assure hepatopetal splanchnic flow in those cases of diffuse thrombosis and cavernomatous transformation of portal vein. CI - Copyright (c) 2010 Elsevier Inc. All rights reserved.
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