A case of esophageal variceal rupture following acute portal vein thrombosis three days after living-related liver transplantation

Hirata, Masaru; Harihara, Yasushi; Hisatomi, S; Miura, Y.; Yoshino, Hiroyuki; Mizuta, Koichi; Ito, M.; Sano, Keiji; Taniai, Nobuhiko; Kusaka, K; Kita, Yoshiaki; Kawarasaki, Hideo; Kubota, Kousuke; Takayama, Tadatoshi; Makuuchi, Masatoshi

doi:10.1016/s0041-1345(00)01659-6

Cited by 8 publications

(5 citation statements)

References 4 publications

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“…It may present with liver failure, splenomegaly, ascites, and gastrointestinal bleeding secondary to esophageal variceal rupture [25]. In our series, the donor who presented with PVT in the immediate postoperative period was asymptomatic.…”

Section: Discussionmentioning

confidence: 77%

Donor Complications Including the Report of One Death in Right-Lobe Living-Donor Liver Transplantation

Coelho¹,

Freitas²,

Matias³

et al. 2007

Dig Surg

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Background/Aims: Our objective is to assess donor complications in all right hepatic lobe living-donor liver transplantation (LDLT) at our center. Methods: Of a total of 352 liver transplantations performed, 60 were right-lobe LDLT. Most donors (88.3%) were related to the recipients. Results: Mean hospital stay was 5.4 8 0.6 days. No complications occurred due to preoperative evaluation. Most donors received one or two units of autologous blood transfusion. Only 5 (8.3%) needed nonautologous blood transfusion. Most complications were minor and treated conservatively. Bile leaks from the cut surface of the liver occurred in 5 donors (8.3%). Two patients had potentially fatal complications: perforated duodenal ulcer and portal vein thrombosis (PVT). The donor with perforated ulcer developed septicemia and multiple organ failure. He was discharged from the hospital with hemiparesis due to cerebral ischemia. The patient with PVT remained asymptomatic and the portal vein was recanalized by the 3rd postoperative month. One donor died in the immediate postoperative period of cardiac arrest due to cardiac arrhythmia. Conclusion: Right hepatectomy for LDLT may be associated with significant morbidity, including death and it should be performed only by surgeons with great experience.

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Section: Discussionmentioning

confidence: 77%

Donor Complications Including the Report of One Death in Right-Lobe Living-Donor Liver Transplantation

Coelho¹,

Freitas²,

Matias³

et al. 2007

Dig Surg

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“…In some cases arterial stenosis per se represent an indication of retransplantation [129]. Portal vein thrombosis (PVT) is one of the life threatening complications of liver transplantation, especially when occurs in the immediate postoperative period [130,131]. Acute PVT may lead to portal hypertension or hepatic ischemia with catastrophic sequelae.…”

Section: The Technique Of Ldltmentioning

confidence: 99%

Risk factors of hepatic graft failure, morbidity and mortality after living donor liver transplantation (LDLT): Review Article

Azzam¹

2018

Clin Res Trial

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Back ground: Liver transplantation is a breakthrough in the modern life. With the increase demands on liver transplantation, LDLT was emerged. With more increase in the demands, the donor pool started to be widened and the use of marginal donors started. The factors affect the graft failure become widened and included multiple factors. Aim and objective:This review extensively put the focus on the risk factors for hepatic graft failure after LDLT. Also, the impact of these factors and their influence on the patients' morbidity and mortality. Conclusion:Multiple factors were studied as risk factors for graft failure and patients' mortality after LDLT. The rate of early graft failure is low. This is due to optimum donor selection as regards age, sex, body mass index (BMI) and ABO-compatibility; computer-assisted planning and decision making in donor segmental hepatectomy and optimum GRWR; short cold ischemic time; high level of expertise in the center; and timely detection of vascular, biliary and immunological complications responsible for early graft failure together with early and efficient management. Most of the underlying risk factors for late graft failure include patients with CR which were not responding to treatment and patients with disease recurrence which is unavoidable. Therefore, both these complications constitute real problems in liver transplantation.

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“…It is usually localized at the site of anastomosis. PVT is one of the life threatening complications of liver transplantation, especially when occurs in the immediate postoperative period [99,100]. Thrombosis or stenosis of the portal venous trunk may be observed in 1.0% to 12.5% liver recipients [97,101,102].…”

Section: Discussionmentioning

confidence: 99%

Outcome after living donor liver transplantation: A comprehensive retrospective analysis of the risk factors for morbidity, mortality and graft failure in a tertiary care center

Azzam¹,

Tanaka²

2017

Trends in Transplant

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A case of esophageal variceal rupture following acute portal vein thrombosis three days after living-related liver transplantation

Cited by 8 publications

References 4 publications

Donor Complications Including the Report of One Death in Right-Lobe Living-Donor Liver Transplantation

Donor Complications Including the Report of One Death in Right-Lobe Living-Donor Liver Transplantation

Risk factors of hepatic graft failure, morbidity and mortality after living donor liver transplantation (LDLT): Review Article

Outcome after living donor liver transplantation: A comprehensive retrospective analysis of the risk factors for morbidity, mortality and graft failure in a tertiary care center

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