ARTERIAL STEAL;
IN LIVER TRANSPLANTATION;
LIVER TRANSPLANTATION;
ISCHEMIA;
D O I:
暂无
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Case reports of two patients with an unusual cause for a rapid increase in transaminases following liver transplantation are described. In the postoperative course, angiography revealed an arterial hypoperfusion of the liver due to a steal phenomenon with blood shunting from the hepatic to the splenic artery. In one case, the underlying pathophysiology was a pre-existing filiform stenosis of the celiac trunk with insufficient recruitment of arterial blood from the superior mesenteric artery via the pancreatic arcade. Adequate liver perfusion was restored by simple ligation of the common hepatic artery. In the other case, angiography showed an arteriovenous fistula formation of the splenic vessels and minimal blood flow through the hepatic vessels. This was successfully corrected by angiographic embolization of the splenic artery with metal coils. After therapeutic intervention, both patients rapidly recovered with excellent liver function.
机构:
Univ Pittsburgh, Med Ctr, Div Gastroenterol Hepatol & Nutr, Pittsburgh, PA 15260 USAUniv Pittsburgh, Med Ctr, Div Gastroenterol Hepatol & Nutr, Pittsburgh, PA 15260 USA
Hashash, Jana G.
Proksell, Siobhan
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h-index: 0
机构:
Univ Pittsburgh, Med Ctr, Dept Internal Med, Pittsburgh, PA USAUniv Pittsburgh, Med Ctr, Div Gastroenterol Hepatol & Nutr, Pittsburgh, PA 15260 USA
Proksell, Siobhan
Behari, Jaideep
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h-index: 0
机构:
Univ Pittsburgh, Med Ctr, Dept Med, Pittsburgh, PA USAUniv Pittsburgh, Med Ctr, Div Gastroenterol Hepatol & Nutr, Pittsburgh, PA 15260 USA