A simple solution to a technical complication in piggyback liver transplantation
"Piggyback" orthotopic liver transplantation is a technical modification of the standard technique that has found favor with a number of surgeons. One possible complication is that of venous outflow obstruction, which presents as an acute Budd-Chiari syndrome. If not rapidly corrected, it...
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| Veröffentlicht in: | Transplantation 1997-08, Vol.64 (4), p.654-655 |
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| creator | STIEBER, A. C GORDON, R. D BASSI, N |
| description | "Piggyback" orthotopic liver transplantation is a technical modification of the standard technique that has found favor with a number of surgeons. One possible complication is that of venous outflow obstruction, which presents as an acute Budd-Chiari syndrome. If not rapidly corrected, it is almost inevitable that the newly implanted graft will fail. Additionally, severe portal hypertension and general infradiaphragmatic venous stasis may compound the damage. We find that anastomosing the donor infrahepatic vena cava to the recipient suprarenal vena cava in an end-to-side fashion is an excellent way to correct the problem. |
| doi_str_mv | 10.1097/00007890-199708270-00019 |
| format | Article |
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We find that anastomosing the donor infrahepatic vena cava to the recipient suprarenal vena cava in an end-to-side fashion is an excellent way to correct the problem.</description><identifier>ISSN: 0041-1337</identifier><identifier>EISSN: 1534-6080</identifier><identifier>DOI: 10.1097/00007890-199708270-00019</identifier><identifier>PMID: 9293882</identifier><identifier>CODEN: TRPLAU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Biological and medical sciences ; Budd-Chiari Syndrome - complications ; Budd-Chiari Syndrome - etiology ; Graft Rejection - etiology ; Humans ; Liver Transplantation - adverse effects ; Liver Transplantation - methods ; Liver, biliary tract, pancreas, portal circulation, spleen ; Medical sciences ; Postoperative Complications ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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C</creatorcontrib><creatorcontrib>GORDON, R. D</creatorcontrib><creatorcontrib>BASSI, N</creatorcontrib><title>A simple solution to a technical complication in piggyback liver transplantation</title><title>Transplantation</title><addtitle>Transplantation</addtitle><description>"Piggyback" orthotopic liver transplantation is a technical modification of the standard technique that has found favor with a number of surgeons. One possible complication is that of venous outflow obstruction, which presents as an acute Budd-Chiari syndrome. If not rapidly corrected, it is almost inevitable that the newly implanted graft will fail. Additionally, severe portal hypertension and general infradiaphragmatic venous stasis may compound the damage. We find that anastomosing the donor infrahepatic vena cava to the recipient suprarenal vena cava in an end-to-side fashion is an excellent way to correct the problem.</description><subject>Biological and medical sciences</subject><subject>Budd-Chiari Syndrome - complications</subject><subject>Budd-Chiari Syndrome - etiology</subject><subject>Graft Rejection - etiology</subject><subject>Humans</subject><subject>Liver Transplantation - adverse effects</subject><subject>Liver Transplantation - methods</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Medical sciences</subject><subject>Postoperative Complications</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Surgical Instruments</subject><subject>Vascular Patency - physiology</subject><issn>0041-1337</issn><issn>1534-6080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMtOwzAQRS0EKqXwCUheIHaBcSZ-LSvES6oEC1hHruMUQ17ECVL_HtOGeuPR3DP26BBCGdww0PIW4pFKQ8K0lqBSCUnsMH1E5oxjlghQcEzmABlLGKI8JWchfEaEo5QzMtOpRqXSOXld0uDrrnI0tNU4-LahQ0sNHZz9aLw1FbVtjGO1y3xDO7_ZbNfGftHK_7ieDr1pQleZZtgh5-SkNFVwF9O9IO8P9293T8nq5fH5brlKLCo9JKoEaZExpxTPSs5LHss1k4AKhMiEESgUFinL0KCx2qZSsExAAVIUGWpckOv9u13ffo8uDHntg3VVXMS1Y8ilTqXWXEVQ7UHbtyH0rsy73tem3-YM8j-Z-b_M_CAz38mMo5fTH-O6dsVhcLIX86spNyGqKqMJ68MBSxUgVwx_Ab7DezU</recordid><startdate>19970827</startdate><enddate>19970827</enddate><creator>STIEBER, A. C</creator><creator>GORDON, R. 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Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Surgical Instruments</topic><topic>Vascular Patency - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>STIEBER, A. C</creatorcontrib><creatorcontrib>GORDON, R. D</creatorcontrib><creatorcontrib>BASSI, N</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>STIEBER, A. C</au><au>GORDON, R. D</au><au>BASSI, N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A simple solution to a technical complication in piggyback liver transplantation</atitle><jtitle>Transplantation</jtitle><addtitle>Transplantation</addtitle><date>1997-08-27</date><risdate>1997</risdate><volume>64</volume><issue>4</issue><spage>654</spage><epage>655</epage><pages>654-655</pages><issn>0041-1337</issn><eissn>1534-6080</eissn><coden>TRPLAU</coden><abstract>"Piggyback" orthotopic liver transplantation is a technical modification of the standard technique that has found favor with a number of surgeons. One possible complication is that of venous outflow obstruction, which presents as an acute Budd-Chiari syndrome. If not rapidly corrected, it is almost inevitable that the newly implanted graft will fail. Additionally, severe portal hypertension and general infradiaphragmatic venous stasis may compound the damage. 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| fulltext | fulltext |
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| ispartof | Transplantation, 1997-08, Vol.64 (4), p.654-655 |
| issn | 0041-1337 1534-6080 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Budd-Chiari Syndrome - complications Budd-Chiari Syndrome - etiology Graft Rejection - etiology Humans Liver Transplantation - adverse effects Liver Transplantation - methods Liver, biliary tract, pancreas, portal circulation, spleen Medical sciences Postoperative Complications Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Surgical Instruments Vascular Patency - physiology |
| title | A simple solution to a technical complication in piggyback liver transplantation |
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