Replacement of the Vena Cava with Aortic Graft for Living Donor Liver Transplantation in Budd-Chiari Syndrome Associated with Hydatid Cyst Surgery: A Case Report

Sakçak, İbrahim; Eris, Cengiz; Olmez, Aydemir; Kayaalp, Cüneyt; Yılmaz, Sezai

doi:10.1016/j.transproceed.2012.04.023

Cited by 18 publications

(13 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In case of postoperative biliary leakage, a perendoscopic drainage (after endoscopic retrograde cholangiopancreatography [ERCP]) should be considered before any reoperation (192,193). Liver transplantation for CE could be the last option in selected cases (194).…”

Section: Treatment Of Cementioning

confidence: 99%

Echinococcosis: Advances in the 21st Century

Wen¹,

Vuitton²,

et al. 2019

View full text Add to dashboard Cite

SUMMARY Echinococcosis is a zoonosis caused by cestodes of the genus Echinococcus (family Taeniidae). This serious and near-cosmopolitan disease continues to be a significant public health issue, with western China being the area of highest endemicity for both the cystic (CE) and alveolar (AE) forms of echinococcosis. Considerable advances have been made in the 21st century on the genetics, genomics, and molecular epidemiology of the causative parasites, on diagnostic tools, and on treatment techniques and control strategies, including the development and deployment of vaccines. In terms of surgery, new procedures have superseded traditional techniques, and total cystectomy in CE, ex vivo resection with autotransplantation in AE, and percutaneous and perendoscopic procedures in both diseases have improved treatment efficacy and the quality of life of patients. In this review, we summarize recent progress on the biology, epidemiology, diagnosis, management, control, and prevention of CE and AE. Currently there is no alternative drug to albendazole to treat echinococcosis, and new compounds are required urgently. Recently acquired genomic and proteomic information can provide a platform for improving diagnosis and for finding new drug and vaccine targets, with direct impact in the future on the control of echinococcosis, which continues to be a global challenge.

show abstract

Section: Treatment Of Cementioning

confidence: 99%

Echinococcosis: Advances in the 21st Century

Wen¹,

Vuitton²,

et al. 2019

View full text Add to dashboard Cite

show abstract

“…First, the deformed retrohepatic VCI should be resected after applying a cross-clamp to the intact supra and infrahepatic VCI segments, and venous continuity should be established with grafts of synthetic materials (Gore-Tex, polytetrafluoroethylene [PTFE], silver-coated polyethylene terephthalate [Dacron]) [18] or allogeneic materials (aorta, iliac artery/vein, VCI, peritoneal fascial graft, bovine pericardium). [ 5 19–22 ] In the current study, we used various allogeneic vascular grafts for VCI reconstruction in 6 of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…3A–C). During follow-up the patient developed chronic rejection of the graft and a DDLT was performed; however, the patient died due to postoperative severe sepsis [5] . A 29-year-old male patient with idiopathic BCS underwent LDLT.…”

Section: Methodsmentioning

confidence: 99%

Living donor liver transplantation for Budd–Chiari syndrome

Ara

Akbulut²,

Ince³

et al. 2016

Medicine

View full text Add to dashboard Cite

Background:The aim of the study was to report the detailed surgical techniques of living donor liver transplantation (LDLT) in patients with Budd–Chiari syndrome (BCS).Methods:Demographic and surgical techniques characteristics of 39 patients with BCS who underwent LDLT were retrospectively reviewed. Thirty-two of them had native vena cava inferior (VCI) preservation and 6 had retrohepatic VCI resection with venous continuity established by cryopreserved VCI (n = 4) or aortic graft (n = 2). In 1 patient, the anastomosis was established between the graft hepatic vein (HV) and the suprahepatic VCI. For preservation of the native VCI, immediately before the graft implantation, the thickened anterior, and right/left lateral walls of the recipient VCI were resected caudally and cranially until the intact vein wall was reached, and then an anastomosis was created between the (HV) of the graft reconstructed as a circumferential fence and the reconstructed recipient VCI. For resection of the retrohepatic VCI, the anastomosis was created with the same technique in all 6 patients in whom VCI was reformed by using a vascular graft.Results:Post-LT complications developed in 19 of the patients. Complications related to the biliary anastomosis accounted for 12 of these cases, with 11 treated by PTC and/or ERCP, and 1 by hepaticojejunostomy. Two of the 39 patients developed recurrent BCS and were treated by interventional radiological methods. Thirteen patients died and none were related to the BCS recurrence.Conclusion:Favorable outcomes are achievable with LDLT treatment of patients with BCS, which carries important implications for countries with inadequate cadaveric donor pools.

show abstract

“…In most cases, VCR was indicated for Budd-Chiari syndrome and unresectable HB. The types of vascular grafts were variable but prosthetic materials were not used in children (16)(17)(18)(19)(20).…”

Section: Discussionmentioning

confidence: 99%

Alternatives for vascular reconstruction in pediatric living donor liver transplantation

Neto

Fonseca

Cândido

et al. 2016

Pediatric Transplantation

View full text Add to dashboard Cite

Many publications discuss the various strategies for vascular reconstruction (VR) in pediatric LDLT. Having knowledge of alternative techniques is helpful in planning transplants. This article presents three case reports that illustrate some of the alternative techniques for HV, PV, and HA reconstruction in pediatric LDLT. It also reviews the available alternative strategies reported for VR in pediatric LDLT. In the first case, a 13-month-old girl presented a PRETEXT III HB with invasion of the retrohepatic vena cava. An LLS graft HV was anastomosed to a DD iliac vein graft and subsequently implanted in a "standard" fashion in the recipient. In the second case, a 44-month-old boy presented with multifocal HB and portomesenteric thrombosis and the portal inflow was done through a renoportal anastomosis. In the third case, a 22-month-old child with a failed Kasai procedure had extensive HA thrombosis. The HA reconstruction was performed with an interposition of the recipient's IMV graft. The use of alternative techniques for VR in pediatric LDLT is paramount to the success of such a complex procedure. Imaging studies can help transplant surgeons outline surgical strategies and define the best technique to be used in each case.

show abstract

Replacement of the Vena Cava with Aortic Graft for Living Donor Liver Transplantation in Budd-Chiari Syndrome Associated with Hydatid Cyst Surgery: A Case Report

Cited by 18 publications

References 6 publications

Echinococcosis: Advances in the 21st Century

Echinococcosis: Advances in the 21st Century

Living donor liver transplantation for Budd–Chiari syndrome

Alternatives for vascular reconstruction in pediatric living donor liver transplantation

Contact Info

Product

Resources

About