Single Center Series of Liver Transplantation for Cirrhosis Complicated by Portal Vein Thrombosis or Stenosis

Portal vein thrombosis (PVT) is a known complication of liver cirrhosis with reported incidence up to 32% and the rate LT only 1.2%-6.6% due surgical complexity risk. 691 transplants were performed in period 2008-2019. The for PVT was 6.2% (43/691). PV reconstruction (PVR) technique depended on grade, age, presence shunts composed thrombectomy (19), reno-portal transposition (8), jump interposition graft (2), mesoportal (1), shunt-to-portal anastomosis (2) adults cava-portal (7), confluent-portal venoplasty(2) pediatric patients. median age PVR compared conventional CPVA (p=0.08). Median blood loss, AKI, EAD new onset 2000 [800; 3500] vs 1200 [700; 1700] (p = 0.06); 20% 15,7% 0.7); 10% 24.5% 0.3) 0,7% (0.07) group. pediatrics (p= 0,12). 150 [100; 250] 0.04); 9% 18,2% (p=0,9), 27.3% group 37,2% (p=1) 11.3% =1) challenging procedure associated higher complications but not mortality. choice reconstruction/thrombectomy depend suitable shunts.