Splenic artery steal syndrome in living donor liver transplantation: A case report

被引:9
|
作者
Shimizu, K. [1 ]
Tashiro, H. [1 ]
Fudaba, Y. [1 ]
Itamoto, T. [1 ]
Ohdan, H. [1 ]
Fukuda, S. [1 ]
Toyota, N. [1 ]
Kakizawa, H. [1 ]
Ushitora, Y. [1 ]
Ogawa, T. [1 ]
Asahara, T. [1 ]
机构
[1] Hiroshima Univ, Dept Surg, Minami Ku, Hiroshima 7348551, Japan
关键词
D O I
10.1016/j.transproceed.2007.06.074
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Splenic artery steal syndrome (SASS) has only recently been recognized as a potential threat to transplanted livers. We report a case of SASS with progressive liver dysfunction that developed after living donor right lobe liver transplantation. SASS suspected by serial pre- and postoperative computed tomographic (CT) scans was diagnosed by celiac trunk angiography. It was successfully salvaged by splenic artery embolization. In this case, serial examinations of CT scans were useful to diagnose SASS. This case showed that portal hyperperfusion injury is a cause of liver graft dysfunction in SASS. The splenic artery embolization technique is a safe procedure that can be applied to treat such injury.
引用
收藏
页码:3519 / 3522
页数:4
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