In situ splitting of a liver with middle hepatic vein anomaly

Alessandro Genzone, Haider Al-Shurafa, Rosalia Mondello, Nicola Morelli, Adelmo Antonucci, Umberto Valente, Enzo Andorno

Research output: Contribution to journalArticle

Abstract

In situ liver splitting provides a way to expand the graft pool, minimize cold ischemia time, and improve hemostasis at the cut surface of the graft. Vascular anomalies of the liver may make the splitting procedure very difficult or even impossible to perform. The in situ splitting procedure, performed on a liver with a middle hepatic vein (MHV) anomaly, is described here. The MHV drained directly into the segment III vein within the hepatic parenchyma instead of draining into the left hepatic vein to form the common trunk. In situ splitting was performed during multiorgan procurement from a 33-year-old man who died of isolated cerebral trauma. The MHV was reconstructed on the back table to secure right graft venous drainage using an iliac vein graft. The resultant right graft, segments I and IV to VIII, and left graft, segments II and III, were transplanted successfully into an adult and a child, respectively. The 2 transplant recipients are currently alive with normal hepatic function 20 months after transplantation.

Original languageEnglish
Pages (from-to)826-828
Number of pages3
JournalLiver Transplantation
Volume7
Issue number9
DOIs
Publication statusPublished - 2001

ASJC Scopus subject areas

  • Surgery
  • Transplantation

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    Genzone, A., Al-Shurafa, H., Mondello, R., Morelli, N., Antonucci, A., Valente, U., & Andorno, E. (2001). In situ splitting of a liver with middle hepatic vein anomaly. Liver Transplantation, 7(9), 826-828. https://doi.org/10.1053/jlts.2001.27087