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Endovascular Treatment of Acute Posttransplant Portal Vein Thrombosis Due to Portal Steal From Mesocaval And Coronary Portosystemic Shunts

Authors :
Centonze, L
Di Sandro, S
Cereda, M
Lauterio, A
De Carlis, R
Migliorisi, C
Morelli, F
Rampoldi, A
De Carlis, L
Centonze, Leonardo
Di Sandro, Stefano
Cereda, Marco
Lauterio, Andrea
De Carlis, Riccardo
Migliorisi, Carmelo
Morelli, Francesco
Rampoldi, Antonio
De Carlis, Luciano
Centonze, L
Di Sandro, S
Cereda, M
Lauterio, A
De Carlis, R
Migliorisi, C
Morelli, F
Rampoldi, A
De Carlis, L
Centonze, Leonardo
Di Sandro, Stefano
Cereda, Marco
Lauterio, Andrea
De Carlis, Riccardo
Migliorisi, Carmelo
Morelli, Francesco
Rampoldi, Antonio
De Carlis, Luciano
Publication Year :
2020

Abstract

The management of portosystemic shunts in liver transplant recipients relies on appropriate perioperative study. There are several strategies for shunt handling, ranging from preoperative interventional procedures to intraoperative surgical interruption or embolization. Appropriate management often results in a successful outcome, although wrong decisions could lead to serious consequences. Here, we report a liver transplant recipient with grade 2 portal vein thrombosis associated with 2 large portosystemic shunts (coronary and mesocaval), which were managed intraoperatively via thrombectomy without shunt ligation. Acute portal vein thrombosis developed early after transplant due to portal steal syndrome. The patient underwent a successful endovascular shunt embolization, with prompt restoration of hepatopetal portal flow and resolution of the portal steal. Use of interventional radiology in perioperative management of transplant patients has recently gained wider importance; our case reported here is particularly suggestive of the good outcomes of a multidisciplinary approach to a threatening complication such as postoperative acute portal vein thrombosis.

Details

Database :
OAIster
Notes :
English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1308934108
Document Type :
Electronic Resource