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 language | English |
|---|---|
| Pages (from-to) | 1244-1247 |
| Number of pages | 4 |
| Journal | Transplantation |
| Volume | 73 |
| Issue number | 8 |
| Publication status | Published - Apr 27 2002 |
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ASJC Scopus subject areas
- Transplantation
- Immunology
Cite this
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 journal › Article
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TY - JOUR
T1 - Improved technique of portal vein reconstruction in pediatric liver transplant recipients with portal vein hypoplasia
AU - Mitchell, Andrew
AU - John, P. R.
AU - Mayer, D. A.
AU - Mirza, D. F.
AU - Buckels, J. A C
AU - De Ville De Goyet, Jean
PY - 2002/4/27
Y1 - 2002/4/27
N2 - 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
AB - 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
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UR - http://www.scopus.com/inward/citedby.url?scp=0037181676&partnerID=8YFLogxK
M3 - Article
C2 - 11981415
AN - SCOPUS:0037181676
VL - 73
SP - 1244
EP - 1247
JO - Transplantation
JF - Transplantation
SN - 0041-1337
IS - 8
ER -