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Hepatic artery reconstruction preserving the pancreaticoduodenal arcade in pediatric liver transplantation with celiac axis compression syndrome: Report of a case |
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| Authors: | Hajime Uchida Seisuke Sakamoto Masatoshi Matsunami Kengo Sasaki Takanobu Shigeta Hiroyuki Kanazawa Akinari Fukuda Atsuko Nakazawa Osamu Miyazaki Shunsuke Nosaka Mureo Kasahara |
| Affiliation: | 1. Transplantation Center, National Center for Child Health and Development, , Tokyo, Japan;2. Division of Clinical Pathology, National Center for Child Health and Development, , Tokyo, Japan;3. Division of Radiology, National Center for Child Health and Development, , Tokyo, Japan |
| Abstract: | CACS is rare, although it has been reported to be a potential risk factor for hepatic artery thrombosis following LT. We herein present the case of a 14‐yr‐old male with stenosis of the origin of the celiac trunk. Preoperative CT and color ultrasonography showed narrowing of the proximal celiac artery. The patient underwent DDLT with standard arterial reconstruction without dividing the gastroduodenal artery. His postoperative course was uneventful, with an excellent hepatic artery flow on Doppler ultrasonography. Applying a meticulous preoperative evaluation and the appropriate surgical technique is crucial in patients with CACS. |
| Keywords: | celiac artery compression syndrome hepatic artery thrombosis median arcuate ligament pediatric liver transplantation |