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| Successful liver allograft inflow reconstruction with the right gastroepiploic vein |
| Rafael S Pinheiro, Ruy J Cruz Jr, Lucas S Nacif, Matheus F Vane and Luiz AC D’Albuquerque |
Sao Paulo, Brazil
Author Affiliations: Liver Transplant Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, Sao Paulo, SP, Brazil (Pinheiro RS, Cruz RJ Jr, Nacif LS and D’Albuquerque LAC), and Department of Anesthesiology, University of Sao Paulo School of Medicine, Sao Paulo, SP, Brazil (Vane MF)
Corresponding Author: Rafael S Pinheiro, MD, Liver Transplant Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, Rua Dr. Eneas de Carvalho Aguiar, 255-suite 9113/9114, Sao Paulo, SP 05403-900, Brazil (Tel: +55-11-2661-3323; Fax: +55-11-2661- 6250; Email: rsnpinheiro@gmail.com) |
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Abstract Portal vein thrombosis is a common complication in cirrhotic patients. When portal vein thrombectomy is not a suitable option, a large collateral vessel can be used for allograft venous inflow reconstruction. We describe an unusual case of successful portal revascularization using the right gastroepiploic vein. The patient underwent a cadaveric orthotopic liver transplantation with end-to-end anastomosis of the portal vein to the right gastroepiploic vein. Six months after liver transplantation the patient is well with good liver function. The use of the right gastroepiploic vein for allograft venous reconstruction is feasible and safe, with a great advantage of avoiding the need of venous jump graft.
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2016, Vol. 15 
