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 language | English (US) |
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Title of host publication | Extreme IR |
Subtitle of host publication | Extraordinary Cases in Interventional Radiology and Endovascular Therapies |
Publisher | Springer International Publishing |
Pages | 170-172 |
Number of pages | 3 |
ISBN (Electronic) | 9783031242519 |
ISBN (Print) | 9783031242502 |
DOIs | |
State | Published - Jul 12 2023 |
Keywords
- Acute liver transplant
- Antegrade transmesenteric stenting
- Interventional radiology
- IR
- Kinked portal vein
ASJC Scopus subject areas
- General Medicine