Antegrade transmesenteric stenting of a kinked portal vein after acute liver transplant

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 54 year-old male with alcoholic cirrhosis and a previous liver transplant underwent second transplantation. Very low Doppler velocities were identified within the portal vein after surgery. At surgical re-exploration 3 days later, a kinked portal vein was identified; this improved after manually lifting and repositioning the liver. A surgical bypass was considered however his superior mesenteric vein was judged too small for a durable anastomosis. Diffuse oozing from acute portal hypertension was observed requiring multiple units of blood; this led to a severe coagulopathy. The patient returned to surgery a third time, the next day, and Interventional Radiology was consulted for emergent portal vein stent placement.

Original languageEnglish (US)
Title of host publicationExtreme IR
Subtitle of host publicationExtraordinary Cases in Interventional Radiology and Endovascular Therapies
PublisherSpringer International Publishing
Pages170-172
Number of pages3
ISBN (Electronic)9783031242519
ISBN (Print)9783031242502
DOIs
StatePublished - Jul 12 2023

Keywords

  • Acute liver transplant
  • Antegrade transmesenteric stenting
  • Interventional radiology
  • IR
  • Kinked portal vein

ASJC Scopus subject areas

  • General Medicine

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