Wow, that portal vein is small: Preventing portal vein thrombosis in liver transplantation for small children

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Wow, that portal vein is small: preventing portal vein thrombosis in liver transplantation for small children.

Portal vein thrombosis after pediatric liver transplantation is a common and devastating complication. Occurring in up to 8% of pediatric liver transplant recipients who are less than 15 kg, it frequently leads to graft loss and the need for emergent retransplantation. Children with biliary atresia are at particularly high risk and often develop an atretic portal vein; this makes the portal vei...

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Portal vein thrombosis in liver transplantation.

BACKGROUND Portal vein thrombosis was considered a contraindication for liver transplantation in the past because of the high morbidity and mortality rates. Many advances made the results better. AIM Review the advances and surgical strategies for liver transplantation in presence of portal vein thrombosis. METHOD Survey of publications in Medline, Scielo and Lilacs databases. Headings cros...

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Portal vein thrombosis and liver transplantation.

Our attention has been drawn to the June 1992 issue of HOSPITAL PHYSICIAN, particularly the section on Board Review in Internal Medicine.1 reconstruction for various associated occlusive and hypoplastic abnormalities in patients undergoing OLTX. Despite these successes, refinement in technique continues as demonstrated by Tzakis et al5 using the venous jump grafts in PVT in 1989. Furthermore, j...

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Distal splenorenal shunt for portal vein thrombosis after liver transplantation.

A 17-yr-old female received a liver transplant for type I glycogen storage disease. A year later, when she experienced variceal gastrointestinal hemorrhage, an angiogram revealed thrombosis of the portal vein with hepatopetal collateral channels. A distal splenorenal shunt was performed because of failure of sclerotherapy to control subsequent bleeding episodes and the fact that the liver funct...

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ژورنال

عنوان ژورنال: Liver Transplantation

سال: 2014

ISSN: 1527-6465

DOI: 10.1002/lt.23865