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 |
ASJC Scopus subject areas
- Transplantation
- Immunology