Artery reconstruction in liver transplantation: the best reconstruction of right hepatic artery variation
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, ISSN: 2317-6326, Vol: 26, Issue: 1, Page: 62-65
2013
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Article Description
INTRODUCTION: Variations on the anatomy of the hepatic artery are common, with incidence of 20-50%. In liver transplantation, back-table reconstruction is often necessary for an easier and prompt arterial anastomosis and so, the use of arterial patches has been related to lower the incidence of complications. However, when a right hepatic artery variation from the superior mesenteric artery is present, the reconstruction occasionally produces twisting and flow problems. METHODS: Is described a surgical alternative for right hepatic artery variation reconstruction using a Carrel-patch from the superior mesenteric artery. The patch is anastomosed with the splenic artery stump to allow vertical orientation and improve blood flow. RESULTS: Among 120 liver transplants, four consecutive cases of right hepatic artery variation were reconstructed using this technique. All of them showed good flow and patency in postoperative period. CONCLUSION: The proposed technique proved to be an interesting alternative for the reconstruction of right hepatic artery variation in liver transplantation.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84895849908&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/23702874; http://dx.doi.org/10.1590/s0102-67202013000100014; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202013000100014&lng=pt&tlng=pt; http://www.scielo.br/pdf/abcd/v26n1/14.pdf; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202013000100014&lng=en&tlng=en; http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-67202013000100014&lng=en&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202013000100014; http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-67202013000100014; https://dx.doi.org/10.1590/s0102-67202013000100014; https://www.scielo.br/j/abcd/a/p3hnKfcFngRrP7s3FPTVdMw/?lang=pt
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