Complicated hepatic vein reconstruction in living donor liver transplantation: Case report and literature review |
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| Authors: | Yi Shao Qiyi Zhang Shuyang Zhou Sheng Yan Bo Zhou Weilin Wang Min Zhang Yan Shen Shusen Zheng |
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| Affiliation: | 1. Department of Surgery, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China;2. Key Laboratory of Combined Multi‐Organ Transplantation, Ministry of Public Health, Hangzhou, Zhejiang, China;3. Key Laboratory of Organ Transplantation, Hangzhou, Zhejiang, China |
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| Abstract: | Hepatic vein reconstruction is one of the crucial issues in living donor liver transplantation (LDLT). In the present study, we report on a right liver LDLT excluding middle hepatic vein (MHV) using an MHV‐dominant graft. Two large‐sized inferior right hepatic veins were anastomosed to the recipient's inferior vena cava, respectively, in an end‐to‐side fashion. MHV tributaries were reconstructed using Y‐shaped cryopreserved iliac artery, but resulted in segment VIII congestion. A Fogarty catheter was then used to take out the thrombus and control the bleeding when anastomosis was being performed. The patient recovered uneventfully. Postoperative computed tomography showed patent interposition grafts and normal perfusion of the liver. The patient was doing well 13 months after transplantation. |
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