Hepatic Artery Reconstruction Using Recipient’s Right Gastroepiploic Artery in Living Related Liver Transplantation

Lee, S E.; Suh, Kyung‐Suk; Min, Kyoungok; Yi, Nam‐Joon; Kwon, Chang Hee; Lee, K U.

doi:10.1097/00007890-200407271-00999

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“…그러나 진행된 간경 변의 경우 간동맥 벽이 두꺼워지고 내막이 쉽게 분리되 는 문제가 발생하기도 하며(3) 반복적인 경피적 간동맥 색전술로 인해 간동맥 내막이 손상되어 수여자의 간동맥 이 간동맥 문합에 적합하지 않는 경우가 적지 않다 (4). 이처럼 적절한 간동맥 혈류원을 확보할 수 없는 경우 우 위대망동맥(right gastroepiploic artery)은 가장 용이하고 안전한 혈류원으로 알려져 있다 (2,5,6…”

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Hepatic Artery Reconstruction Using the Right Gastroepiploic Artery for Hepatic Artery Inflow in a Living Donor Liver Transplantation

Kim

Choi

Han

2010

Korean J Transplant

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Securing the source of hepatic artery inflow is essential for living donor liver transplantation. However, sometimes, the hepatic arteries of the recipients are in poor condition for a good anastomosis in living donor liver transplantation; problems include severe arteriosclerosis, intimal dissection, and significant intimal injuries caused by previous transarterial procedures. In these conditions, the right gastroepiploic artery has generally been the preferred artery because of its anatomical location, size and length. Here, a case of successful hepatic artery reconstruction is reported using the right gastroepiploic artery in living donor liver transplantation. The recipient's hepatic arterial intima was severely injured by multiple transarterial chemoembolization and unsuitable for reconstruction. Instead, the right gastroepiploic artery was anastomosed to the hepatic artery of the graft. Arterial blood flow was satisfactory on Doppler ultrasonography during the operation, and complications related to the hepatic artery were not detected during the follow-up period. Therefore, the right gastroepiploic artery may be considered as a suitable alternative for hepatic artery reconstruction in living donor liver transplantation.

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