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Complications of Interposition Grafts for Middle Hepatic Vein Reconstruction in Living Donor Liver Transplantation

S. Kim, G. Chun, I. Song

Division of Hepatobiliay and Liver Transplantation, Department of Surgery, Chungnam National University Hospital, Daejeon, Korea, Republic of

Meeting: 2019 American Transplant Congress

Abstract number: B329

Keywords: Graft function, Liver transplantation, Surgical complications

Session Information

Date: Sunday, June 2, 2019

Session Name: Poster Session B: Liver: Living Donors and Partial Grafts

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall C & D

Related Abstracts
  • Technical Aspects of Reconstruction of Middle Hepatic Vein and Multiple Inferior Right Hepatic Veins Using Dual Artificial Vascular Grafts in Right Lobe Living Donor Liver Transplantation: “V-Plasty” Technique for Common Outflow Reconstruction Vs Second IVC Anastomosis
  • Technique of “Loop V-Plasty” for Combined Reconstruction of the Middle Hepatic Vein and Multiple Inferior Right Hepatic Veins Using Single Polytetrafluoroethylene Graft in a Right Lobe Living Donor Liver Transplantation.

*Purpose: Allografts and polytetrafluoroethylene (PTFE) grafts are suitable for middle hepatic vein (MHV) reconstruction during living donor liver transplantation (LDLT). We experienced other complications depending on the type of interposition graft.

*Methods: Variety of interposition grafts such as cadaveric cryopresereved vessels (iliac vein, iliac artery and aorta) ringed PTFE graft have been used for middle hepatic vein resonstruction.

*Results: There were two migrations of the ringed PTPF to the adjacent organ and there was one fistula of allograft, cryopreserved aorta from cadaveric donor, to duodenum. In the case of migrations, gastroduodenoscopy detected ringed PTPF in the duodenal lumen without any symptom at several years later after LDLT. We performed operation to remove the migrated synthetic graft. The patient who had fistula of the graft to duodenum was admitted via the emergency room because of syncope at posttransplantation 8 months. For the first time, we did not know the reason for syncope until melena was found. We separated the duodenum and allograft and performed simple close of the both. And gastrojejunostomy was done. They were discharged without any problem.

*Conclusions: Artificial graft and even allograft for middle hepatic vein reconstruction can make problem to the adjacent organ.

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To cite this abstract in AMA style:

Kim S, Chun G, Song I. Complications of Interposition Grafts for Middle Hepatic Vein Reconstruction in Living Donor Liver Transplantation [abstract]. Am J Transplant. 2019; 19 (suppl 3). https://atcmeetingabstracts.com/abstract/complications-of-interposition-grafts-for-middle-hepatic-vein-reconstruction-in-living-donor-liver-transplantation/. Accessed April 20, 2021.

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