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

Jorge E. Lopera

doi:10.1007/978-3-031-24251-9_48

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

Jorge E. Lopera

Department of Radiology

Research output: Chapter in Book/Report/Conference proceeding › Chapter

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)
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	https://doi.org/10.1007/978-3-031-24251-9_48
State	Published - 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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10.1007/978-3-031-24251-9_48

Cite this

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title = "Antegrade transmesenteric stenting of a kinked portal vein after acute liver transplant",

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.",

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N2 - 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.

AB - 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.

KW - Acute liver transplant

KW - Antegrade transmesenteric stenting

KW - Interventional radiology

KW - IR

KW - Kinked portal vein

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BT - Extreme IR

PB - Springer International Publishing

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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