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Retransplantation of the liver after side-to-side caval anastomosis
Authors:François Mosimann  Michel Gillet
Affiliation:(1) Department of Surgery, University Hospital (CHUV), CH-1011 Lausanne, Switzerland
Abstract:
Caval reconstruction in orthotopic liver transplantation is generally performed by two end-to-end anastomoses, using a portal and caval-axillary bypass to sustain hemodynamic stability. In the ldquopiggybackrdquo modification, the donor's suprahepatic inferior vena cava (IVC) is anastomosed end-to-side to the recipient's preserved IVC. We have used a recently described variant of the piggyback in 18 patients in whom both IVCs are anastomosed side-to-side. We report two patients who needed three retransplants after this reconstruction and conclude that regrafting can be performed in a quick and safe manner.
Keywords:Liver  transplantation  Cava side-to-side  liver retransplantation
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