Liver transplant with portocaval hemitransposition: blood supply with only hepatic artery is possible?

C Wang; T Zhang; S Song; D Xiu; B Jiang

doi:10.1016/j.transproceed.2005.03.003

Liver transplant with portocaval hemitransposition: blood supply with only hepatic artery is possible?

Transplant Proc. 2005 Jun;37(5):2163-5. doi: 10.1016/j.transproceed.2005.03.003.

Authors

C Wang¹, T Zhang, S Song, D Xiu, B Jiang

Affiliation

¹ Department of General Surgery, Third Hospital, Peking University, 49 Road North Garden, District Haidian, 100083 Peking, People's Republic of China.

PMID: 15964367
DOI: 10.1016/j.transproceed.2005.03.003

Abstract

We present herein a case of orthotopic liver transplantation (OLT) with portocaval hemitransposition. The patient underwent OLT for hepatocellular carcinoma with diffused portomesenteric vein thrombosis. The unique feature of this case was that 6 months after the operation, because of recurrent carcinoma, the hepatic vein was occluded and the portal vein became the drainage vein and the hepatic artery was the only vessel that supplied the liver. Yet the patient survived. Regarding the unique hemodynamic changes of the patient, could we let the portal vein alone in case of diffuse portomesenteric thrombosis in OLT?

Publication types

Case Reports

MeSH terms

Adult
Blood Flow Velocity
Hepatic Artery / surgery*
Humans
Liver Circulation / physiology*
Liver Neoplasms / surgery*
Liver Transplantation / methods*
Male
Portacaval Shunt, Surgical / methods*
Vena Cava, Inferior / surgery