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Partial portal vein arterialization using right gastroepiploic artery: A novel solution for portal hypoperfusion |
Kin Pan Au1, Kenneth Siu Ho Chok1,*, Sui Ling Sin1, James Yan1, Yue Fung1, Chung Mau Lo1,Vivian Way Kay Mok2 |
1Division of Liver Transplantation, Department of Surgery, Queen Mary Hospital, The University of Hong Kong, Pokfulam, Hong Kong, China
2Division of Plastic and Reconstructive Surgery, Department of Surgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China
∗Corresponding author.
E-mail address: chok6275@hku.hk (K.S.H. Chok) |
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Abstract Establishing dual arterial and portal inflow is essential for liver transplantation [1] . Inadequate portal inflow compromises graft function and graft survival [2] . Portal hypoperfusion is usually a consequence of spontaneous portosystemic shunt, ligation of which results in improvement of portal inflow [3] . We encountered a patient with portal hypoperfusion, where no significant shunting could be identified. Portal inflow was boosted with incorporating arterial supply using right gastroepiploic artery. The early results were promising.
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