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

32 Citations (Scopus)

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

Fingerprint

Portal Vein
Pediatrics
Transplants
Liver
Veins
Splenic Vein
Iliac Vein
Portal System
Mesenteric Veins
Liver Transplantation
Allografts
Blood Vessels
Transplant Recipients
Tissue Donors

ASJC Scopus subject areas

  • Transplantation
  • Immunology

Cite this

Mitchell, A., John, P. R., Mayer, D. A., Mirza, D. F., Buckels, J. A. C., & De Ville De Goyet, J. (2002). Improved technique of portal vein reconstruction in pediatric liver transplant recipients with portal vein hypoplasia. Transplantation, 73(8), 1244-1247.

Improved technique of portal vein reconstruction in pediatric liver transplant recipients with portal vein hypoplasia. / Mitchell, Andrew; John, P. R.; Mayer, D. A.; Mirza, D. F.; Buckels, J. A C; De Ville De Goyet, Jean.

In: Transplantation, Vol. 73, No. 8, 27.04.2002, p. 1244-1247.

Research output: Contribution to journalArticle

Mitchell, A, John, PR, Mayer, DA, Mirza, DF, Buckels, JAC & De Ville De Goyet, J 2002, 'Improved technique of portal vein reconstruction in pediatric liver transplant recipients with portal vein hypoplasia', Transplantation, vol. 73, no. 8, pp. 1244-1247.
Mitchell A, John PR, Mayer DA, Mirza DF, Buckels JAC, De Ville De Goyet J. Improved technique of portal vein reconstruction in pediatric liver transplant recipients with portal vein hypoplasia. Transplantation. 2002 Apr 27;73(8):1244-1247.
Mitchell, Andrew ; John, P. R. ; Mayer, D. A. ; Mirza, D. F. ; Buckels, J. A C ; De Ville De Goyet, Jean. / Improved technique of portal vein reconstruction in pediatric liver transplant recipients with portal vein hypoplasia. In: Transplantation. 2002 ; Vol. 73, No. 8. pp. 1244-1247.
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