Rex shunt for portal vein thrombosis after adult living donor liver transplantation.

Yuji Soejima, Ken Shirabe, Tomoharu Yoshizumi, Hideaki Uchiyama, Toru Ikegami, Yo Ichi Yamashita, Tetsuo Ikeda, Hirofumi Kawanaka, Keishi Sugimachi, Koshi Mimori, Masayuki Watanabe, Masaru Morita, Eiji Oki, Hiroshi Saeki, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抜粋

Portal vein thrombosis (PVT) after liver transplantation is a relatively common but serious complication which could lead to portal hypertension or a direct graft loss. A "Rex" shunt created between the superior mesenteric vein (SMV) and the umbilical portion of the left portal vein can be a useful option to treat PVT after pediatric liver transplantation, however, its application to adult patients has not been reported so far because appropriate vein grafts are hardly available. Herein we present a case of PVT after left lobe living donor liver transplantation (LDLT) who underwent the procedure using the own inferior jugular vein and the gonadal vein as a shunt graft. The shunt was patent immediately after the procedure but was thrombosed 2 days after probably due to the insufficient inflow from the SMV and the absence of anticoagulation therapy, for which emergent thrombectomy and ligation of the significant hepatofugal collateral veins followed by full anti-coagulation therapy were performed. The shunt remains open at 8 month after the procedure with a normal anmonia level and liver function. In conclusion, the Rex shunt using recipient's autologous vein grafts is a feasible and valuable option for adult patients to treat PVT after LDLT.

元の言語英語
ページ(範囲)464-468
ページ数5
ジャーナルFukuoka igaku zasshi = Hukuoka acta medica
104
発行部数11
出版物ステータス出版済み - 1 1 2013

    フィンガープリント

All Science Journal Classification (ASJC) codes

  • Medicine(all)

これを引用

Soejima, Y., Shirabe, K., Yoshizumi, T., Uchiyama, H., Ikegami, T., Yamashita, Y. I., ... Maehara, Y. (2013). Rex shunt for portal vein thrombosis after adult living donor liver transplantation. Fukuoka igaku zasshi = Hukuoka acta medica, 104(11), 464-468.