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Living donor liver transplantation with extensive caval thrombectomy for acute-on-chronic Budd-Chiari syndrome.

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Title: Living donor liver transplantation with extensive caval thrombectomy for acute-on-chronic Budd-Chiari syndrome.
Authors: Soyama, Akihiko / Eguchi, Susumu / Yanaga, Katsuhiko / Takatsuki, Mitsuhisa / Hidaka, Masaaki / Kanematsu, Takashi
Issue Date: Jul-2011
Publisher: Springer Verlag
Citation: Surgery Today, 41(7), pp.1026-1028; 2011
Abstract: The key consideration when performing living donor liver transplantation (LDLT) in patients with Budd-Chiari syndrome (BCS) is careful management of a stenotic or occluded inferior vena cava (IVC), because it is not possible to replace the recipient stenotic or occluded IVC with donor IVC as in cadaver donor transplantation. We describe how we performed LDLT with extensive thrombectomy in a patient with acute-on-chronic BCS with a totally thrombosed retrohepatic IVC. The operation was successful and the patient remains well, with follow-up images showing a patent IVC and hepatic veins. To our knowledge, LDLT for a BCS patient with severe extensive caval thrombus has never been reported before. We consider that the successful outcome of this patient clearly demonstrates the feasibility of our technique of extensive thrombectomy, without a vessel graft, to manage a stenotic or occluded IVC in LDLT in patients with BCS.
Keywords: Budd-Chiari syndrome / Cavoplasty / Living donor liver transplantation / Thrombectomy
URI: http://hdl.handle.net/10069/25732
ISSN: 09411291
DOI: 10.1007/s00595-010-4376-z
PubMed ID: 21748628
Rights: © 2011 Springer. / The original publication is available at www.springerlink.com
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/25732

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