Phrenic Artery Hemorrhage after Percutaneous Portal Vein Stenting to Treat Cavernous Transformation Following Living Donor Liver Transplantation: A Case Report

Cavernous transformation is a condition which has an acutely developing harmful effect over intestinal circulation compromising the patients' life before development of portal hypertension and its results. We present the case of phrenic artery hemorrhage after successful percutaneous portal vei...

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Main Authors: Qiang Huang, Ningning Lu, Renyou Zhai
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Transplantation
Online Access:http://dx.doi.org/10.1155/2011/481237
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author Qiang Huang
Ningning Lu
Renyou Zhai
author_facet Qiang Huang
Ningning Lu
Renyou Zhai
author_sort Qiang Huang
collection DOAJ
description Cavernous transformation is a condition which has an acutely developing harmful effect over intestinal circulation compromising the patients' life before development of portal hypertension and its results. We present the case of phrenic artery hemorrhage after successful percutaneous portal vein stenting to treat cavernous transformation following LDLT. The patient survived the hazard complication with prompt surgery. Three factors may be related to the rare complication in the case were analyzed, including affluent new vessels around the diaphragm related to LDLT procedure, high puncture site allowing the diaphragm been injured, and anticoagulation given before the puncture and soon after the procedure. Cautions should be taken for the interventional procedures in this extreme condition. Cavernous transformation is a condition which has an acutely developing harmful effect over intestinal circulation compromising the patients' life before development of portal hypertension and its results (see the work of Harmanci and Bayraktar (2007)). It is even worse when this happens in a patient after LDLT (living donor liver transplantation). Herein we have presented a case of phrenic artery hemorrhage after successful percutaneous portal vein stenting to treat cavernous transformation following LDLT. The patient survived the hazard complication with prompt surgery.
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publishDate 2011-01-01
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series Case Reports in Transplantation
spelling doaj-art-a00b5ff1161f4047b6dc2be027c19a7e2025-08-20T03:38:11ZengWileyCase Reports in Transplantation2090-69432090-69512011-01-01201110.1155/2011/481237481237Phrenic Artery Hemorrhage after Percutaneous Portal Vein Stenting to Treat Cavernous Transformation Following Living Donor Liver Transplantation: A Case ReportQiang Huang0Ningning Lu1Renyou Zhai2Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, ChinaBeijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, ChinaBeijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, ChinaCavernous transformation is a condition which has an acutely developing harmful effect over intestinal circulation compromising the patients' life before development of portal hypertension and its results. We present the case of phrenic artery hemorrhage after successful percutaneous portal vein stenting to treat cavernous transformation following LDLT. The patient survived the hazard complication with prompt surgery. Three factors may be related to the rare complication in the case were analyzed, including affluent new vessels around the diaphragm related to LDLT procedure, high puncture site allowing the diaphragm been injured, and anticoagulation given before the puncture and soon after the procedure. Cautions should be taken for the interventional procedures in this extreme condition. Cavernous transformation is a condition which has an acutely developing harmful effect over intestinal circulation compromising the patients' life before development of portal hypertension and its results (see the work of Harmanci and Bayraktar (2007)). It is even worse when this happens in a patient after LDLT (living donor liver transplantation). Herein we have presented a case of phrenic artery hemorrhage after successful percutaneous portal vein stenting to treat cavernous transformation following LDLT. The patient survived the hazard complication with prompt surgery.http://dx.doi.org/10.1155/2011/481237
spellingShingle Qiang Huang
Ningning Lu
Renyou Zhai
Phrenic Artery Hemorrhage after Percutaneous Portal Vein Stenting to Treat Cavernous Transformation Following Living Donor Liver Transplantation: A Case Report
Case Reports in Transplantation
title Phrenic Artery Hemorrhage after Percutaneous Portal Vein Stenting to Treat Cavernous Transformation Following Living Donor Liver Transplantation: A Case Report
title_full Phrenic Artery Hemorrhage after Percutaneous Portal Vein Stenting to Treat Cavernous Transformation Following Living Donor Liver Transplantation: A Case Report
title_fullStr Phrenic Artery Hemorrhage after Percutaneous Portal Vein Stenting to Treat Cavernous Transformation Following Living Donor Liver Transplantation: A Case Report
title_full_unstemmed Phrenic Artery Hemorrhage after Percutaneous Portal Vein Stenting to Treat Cavernous Transformation Following Living Donor Liver Transplantation: A Case Report
title_short Phrenic Artery Hemorrhage after Percutaneous Portal Vein Stenting to Treat Cavernous Transformation Following Living Donor Liver Transplantation: A Case Report
title_sort phrenic artery hemorrhage after percutaneous portal vein stenting to treat cavernous transformation following living donor liver transplantation a case report
url http://dx.doi.org/10.1155/2011/481237
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AT ningninglu phrenicarteryhemorrhageafterpercutaneousportalveinstentingtotreatcavernoustransformationfollowinglivingdonorlivertransplantationacasereport
AT renyouzhai phrenicarteryhemorrhageafterpercutaneousportalveinstentingtotreatcavernoustransformationfollowinglivingdonorlivertransplantationacasereport