Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-up
Hepatic artery thrombosis (HAT) following living donor liver transplantation (LDLT) is a lethal complication. We present the case of a patient who underwent salvage redo hepatic artery reconstruction using an aorto-hepatic jump graft because of HAT following LDLT. A 64-year-old female patient diagno...
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| Format: | Article |
| Language: | English |
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Korean Society for Transplantation
2021-12-01
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| Series: | Korean Journal of Transplantation |
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| Online Access: | http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.21.0009 |
| _version_ | 1827393854652809216 |
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| author | Jin Uk Choi Shin Hwang Chul-Soo Ahn Deok-Bog Moon Gil-Chun Park |
| author_facet | Jin Uk Choi Shin Hwang Chul-Soo Ahn Deok-Bog Moon Gil-Chun Park |
| author_sort | Jin Uk Choi |
| collection | DOAJ |
| description | Hepatic artery thrombosis (HAT) following living donor liver transplantation (LDLT) is a lethal complication. We present the case of a patient who underwent salvage redo hepatic artery reconstruction using an aorto-hepatic jump graft because of HAT following LDLT. A 64-year-old female patient diagnosed with hepatitis C virus-associated liver cirrhosis and hepatocellular carcinoma underwent salvage LDLT using a modified right liver graft. Partial graft infarct was identified at posttransplant day 4, and by day 9, it had spread. Celiac arteriography showed complete occlusion of the graft hepatic artery. We performed redo hepatic artery reconstruction using a fresh iliofemoral artery homograft 10 days after the LDLT operation because such a vessel homograft was available at our institutional tissue bank. The infrarenal aorta was dissected and an iliofemoral artery graft was anastomosed. Soon after hepatic artery revascularization, liver function progressively improved, and the infarct area at the liver graft was reduced. The patient has been doing well for 10 years without any vascular complications. In conclusion, our experience with this case suggests that salvage redo hepatic artery reconstruction using an aorto-hepatic jump graft is a feasible option to treat HAT following LDLT, as in deceased donor liver transplantation. |
| first_indexed | 2024-03-08T17:56:27Z |
| format | Article |
| id | doaj.art-a6ba9acc0b7b4504a885494e19734adb |
| institution | Directory Open Access Journal |
| issn | 2671-8790 |
| language | English |
| last_indexed | 2024-03-08T17:56:27Z |
| publishDate | 2021-12-01 |
| publisher | Korean Society for Transplantation |
| record_format | Article |
| series | Korean Journal of Transplantation |
| spelling | doaj.art-a6ba9acc0b7b4504a885494e19734adb2024-01-02T04:34:13ZengKorean Society for TransplantationKorean Journal of Transplantation2671-87902021-12-0135426827410.4285/kjt.21.0009kjt.21.0009Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-upJin Uk Choi0Shin Hwang1Chul-Soo Ahn2Deok-Bog Moon3Gil-Chun Park4Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDivision of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDivision of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDivision of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDivision of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaHepatic artery thrombosis (HAT) following living donor liver transplantation (LDLT) is a lethal complication. We present the case of a patient who underwent salvage redo hepatic artery reconstruction using an aorto-hepatic jump graft because of HAT following LDLT. A 64-year-old female patient diagnosed with hepatitis C virus-associated liver cirrhosis and hepatocellular carcinoma underwent salvage LDLT using a modified right liver graft. Partial graft infarct was identified at posttransplant day 4, and by day 9, it had spread. Celiac arteriography showed complete occlusion of the graft hepatic artery. We performed redo hepatic artery reconstruction using a fresh iliofemoral artery homograft 10 days after the LDLT operation because such a vessel homograft was available at our institutional tissue bank. The infrarenal aorta was dissected and an iliofemoral artery graft was anastomosed. Soon after hepatic artery revascularization, liver function progressively improved, and the infarct area at the liver graft was reduced. The patient has been doing well for 10 years without any vascular complications. In conclusion, our experience with this case suggests that salvage redo hepatic artery reconstruction using an aorto-hepatic jump graft is a feasible option to treat HAT following LDLT, as in deceased donor liver transplantation.http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.21.0009aorto-hepatic reconstruction; hepatic artery thrombosis; redo anastomosis; hepatic failure; retransplantation; case report |
| spellingShingle | Jin Uk Choi Shin Hwang Chul-Soo Ahn Deok-Bog Moon Gil-Chun Park Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-up Korean Journal of Transplantation aorto-hepatic reconstruction; hepatic artery thrombosis; redo anastomosis; hepatic failure; retransplantation; case report |
| title | Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-up |
| title_full | Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-up |
| title_fullStr | Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-up |
| title_full_unstemmed | Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-up |
| title_short | Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-up |
| title_sort | salvage aorto hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation a case report with 10 year follow up |
| topic | aorto-hepatic reconstruction; hepatic artery thrombosis; redo anastomosis; hepatic failure; retransplantation; case report |
| url | http://journaleditor.inforang.com/journal/view.html?doi=10.4285/kjt.21.0009 |
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