This study was approved by our institutional review committee.
Challenges and Controversies in Liver Transplantation
Portal vein arterialization using an accessory right hepatic artery in liver transplantation
Article first published online: 3 JUN 2013
Copyright © 2013 American Association for the Study of Liver Diseases
Volume 19, Issue 7, pages 773–775, July 2013
How to Cite
Paloyo, S., Nishida, S., Fan, J., Tekin, A., Selvaggi, G., Levi, D. and Tzakis, A. (2013), Portal vein arterialization using an accessory right hepatic artery in liver transplantation. Liver Transpl, 19: 773–775. doi: 10.1002/lt.23653
- Issue published online: 25 JUN 2013
- Article first published online: 3 JUN 2013
- Accepted manuscript online: 30 MAR 2013 04:27AM EST
- Manuscript Accepted: 26 MAR 2013
- Manuscript Received: 11 FEB 2013
Portal vein thrombosis remains to be a challenging issue during liver transplantation even with the acquisition of innovative surgical techniques and years of experience. Most frequently, an initial eversion thromboendovenectomy is performed and depending on the extent of thrombosis and intraoperative findings, further revascularization options include venous jump grafts, portocaval hemitransposition, renoportal anastomosis or portal vein arterialization. Reports on these surgical approaches are limited although with acceptable outcomes. We present a 64-year-old patient with hepatitis C cirrhosis who underwent orthotopic liver transplantation with portal vein arterialization using an accessory right hepatic artery. Liver graft function has remained stable four years after transplant with notable aneurysmal dilatation of the portal vein. Liver Transpl 19:773–775, 2013. © 2013 AASLD.