Living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graft
Abstract Background Congenital absence of portal vein (CAPV) is a rare structural anomaly in which the portal vein (PV) blood that normally flow into the liver directly drains into the systemic venous system through other collateral circulation. Congenital portal vein shunts (CPSs) is classified int...
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Japan Surgical Society
2020-06-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00916-8 |
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| author | Peilin Li Masaaki Hidaka Takashi Hamada Satoshi Ikeda Shinichiro Ono Yasuhiro Maruya Tota Kugiyama Takanobu Hara Tomoko Yoshimoto Tomohiko Adachi Takayuki Tanaka Takayuki Miyoshi Shunsuke Murakami Yu Huang Kengo Kanetaka Susumu Eguchi |
| author_facet | Peilin Li Masaaki Hidaka Takashi Hamada Satoshi Ikeda Shinichiro Ono Yasuhiro Maruya Tota Kugiyama Takanobu Hara Tomoko Yoshimoto Tomohiko Adachi Takayuki Tanaka Takayuki Miyoshi Shunsuke Murakami Yu Huang Kengo Kanetaka Susumu Eguchi |
| author_sort | Peilin Li |
| collection | DOAJ |
| description | Abstract Background Congenital absence of portal vein (CAPV) is a rare structural anomaly in which the portal vein (PV) blood that normally flow into the liver directly drains into the systemic venous system through other collateral circulation. Congenital portal vein shunts (CPSs) is classified into types I and II according to the absence or presence of the intrahepatic portal vein, respectively. The CPS type I is also known as CAPV. The liver transplantation may be the only treatment option for CAPV. The key point of liver transplantation for CAPV is the reconstruction of the PV. Case presentation A 29-year-old man was diagnosed with CAPV with splenomegaly and gastroesophageal varix when being treated for pancytopenia and liver dysfunction. A living donor liver transplantation was performed for him using the right lobe which had been donated by his mother. The PV was reconstructed using his own great saphenous vein (GSV) as a graft vein. The end of the GSV graft was anastomosed to the inferior mesenteric vein while the other end was anastomosed to the vein graft of the right hepatic vein from the explanted liver. Conclusion Using the patient’s own GSV for PV reconstruction during living donor transplantation in the patient with CAPV seems to be an effective method. |
| format | Article |
| id | doaj-art-785eece4337b46ea8f3f10cd4c9a7a36 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-785eece4337b46ea8f3f10cd4c9a7a362025-08-20T03:14:53ZengJapan Surgical SocietySurgical Case Reports2198-77932020-06-01611510.1186/s40792-020-00916-8Living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graftPeilin Li0Masaaki Hidaka1Takashi Hamada2Satoshi Ikeda3Shinichiro Ono4Yasuhiro Maruya5Tota Kugiyama6Takanobu Hara7Tomoko Yoshimoto8Tomohiko Adachi9Takayuki Tanaka10Takayuki Miyoshi11Shunsuke Murakami12Yu Huang13Kengo Kanetaka14Susumu Eguchi15Department of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceDepartment of Surgery, Nagasaki University Graduate School of Biomedical ScienceAbstract Background Congenital absence of portal vein (CAPV) is a rare structural anomaly in which the portal vein (PV) blood that normally flow into the liver directly drains into the systemic venous system through other collateral circulation. Congenital portal vein shunts (CPSs) is classified into types I and II according to the absence or presence of the intrahepatic portal vein, respectively. The CPS type I is also known as CAPV. The liver transplantation may be the only treatment option for CAPV. The key point of liver transplantation for CAPV is the reconstruction of the PV. Case presentation A 29-year-old man was diagnosed with CAPV with splenomegaly and gastroesophageal varix when being treated for pancytopenia and liver dysfunction. A living donor liver transplantation was performed for him using the right lobe which had been donated by his mother. The PV was reconstructed using his own great saphenous vein (GSV) as a graft vein. The end of the GSV graft was anastomosed to the inferior mesenteric vein while the other end was anastomosed to the vein graft of the right hepatic vein from the explanted liver. Conclusion Using the patient’s own GSV for PV reconstruction during living donor transplantation in the patient with CAPV seems to be an effective method.http://link.springer.com/article/10.1186/s40792-020-00916-8Congenital absence of portal veinLiving donor liver transplantationPortal vein restructureGreat saphenous vein transplantation |
| spellingShingle | Peilin Li Masaaki Hidaka Takashi Hamada Satoshi Ikeda Shinichiro Ono Yasuhiro Maruya Tota Kugiyama Takanobu Hara Tomoko Yoshimoto Tomohiko Adachi Takayuki Tanaka Takayuki Miyoshi Shunsuke Murakami Yu Huang Kengo Kanetaka Susumu Eguchi Living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graft Surgical Case Reports Congenital absence of portal vein Living donor liver transplantation Portal vein restructure Great saphenous vein transplantation |
| title | Living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graft |
| title_full | Living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graft |
| title_fullStr | Living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graft |
| title_full_unstemmed | Living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graft |
| title_short | Living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graft |
| title_sort | living donor liver transplantation for congenital absence of portal vein in portal venous reconstruction with a great saphenous vein graft |
| topic | Congenital absence of portal vein Living donor liver transplantation Portal vein restructure Great saphenous vein transplantation |
| url | http://link.springer.com/article/10.1186/s40792-020-00916-8 |
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