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https://observatorio.fm.usp.br/handle/OPI/5472
Title: | Complex hepatic outflow reconstruction in domino liver transplantation |
Authors: | PINHEIRO, Rafael S.; LAI, Quirino; DAHRENMOLLER, Carola; LERUT, Jan |
Citation: | HEPATOBILIARY & PANCREATIC DISEASES INTERNATIONAL, v.13, n.1, p.98-100, 2014 |
Abstract: | Domino liver transplantation has been accepted as a safe procedure to further expand the organ donor pool. The most important technical challenge of the procedure resides in restoring a proper hepatic venous allograft outflow in the familial amyloidotic polyneuropathy-liver recipient. To overcome this issue, combined techniques were used to perform an innovative outflow reconstruction. A domino liver transplantation was successfully performed with reconstruction of complex venous outflow. The inferior vena cava sparing hepatectomy technique in the familial amyloidotic polyneuropathy-donor was used to cut the hepatic vein to the liver parenchyma. To overcome this issue the venous outflow tract was reconstructed using a longitudinally opened iliac vein graft from a post-mortem donor to create a new outflow tract using a diamond patch between the right and middle/left hepatic veins. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/37 |
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