Improved technique of portal vein reconstruction in pediatric liver transplant recipients with portal vein hypoplasia

Andrew Mitchell, P. R. John, D. A. Mayer, D. F. Mirza, J. A C Buckels, Jean De Ville De Goyet

Research output: Contribution to journalArticle

Abstract

Background. Children with small or hypoplastic portal veins represent a challenge for liver transplantation. Graft loss of up to 70% has been reported in these patients in the past. A variety of techniques has been used in both cadaveric and living related transplants in an effort to overcome this problem. Variability arises as to whether to use a vascular graft and where on the portal system to attach the graft. Method. We present our usage of a simple and straightforward interposition iliac vein allograft fashioned in a manner to achieve large anastomotic cross-sectional area on the confluence of the superior mesenteric/splenic veins. The procedure also overcomes problems of graft vein/portal vein size mismatch in the cases where liver and vein grafts are procured from much larger donors. Results. A total of 14 children presented with hypoplastic portal vein (diameter

Original languageEnglish
Pages (from-to)1244-1247
Number of pages4
JournalTransplantation
Volume73
Issue number8
Publication statusPublished - Apr 27 2002

ASJC Scopus subject areas

  • Transplantation
  • Immunology

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