A case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsis
In this present case report during liver transplantation a patient was developed dissection of hepatic artery (HA) which was noticed after arterial reconstruction step. In one hour after surgery at intervention operating room stent placement of HA was performed. At early postoperative period by hepa...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Russian |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2019-10-01
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| Series: | Vestnik Transplantologii i Iskusstvennyh Organov |
| Subjects: | |
| Online Access: | https://journal.transpl.ru/vtio/article/view/1066 |
| _version_ | 1797872022699638784 |
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| author | D. A. Granov A. A. Polikarpov I. I. Tileubergenov V. N. Zhuikov A. V. Moiseenko A. R. Sheraliev I. G. Kardanova |
| author_facet | D. A. Granov A. A. Polikarpov I. I. Tileubergenov V. N. Zhuikov A. V. Moiseenko A. R. Sheraliev I. G. Kardanova |
| author_sort | D. A. Granov |
| collection | DOAJ |
| description | In this present case report during liver transplantation a patient was developed dissection of hepatic artery (HA) which was noticed after arterial reconstruction step. In one hour after surgery at intervention operating room stent placement of HA was performed. At early postoperative period by hepatic angiography study indicated for a second stent placement of HA, also embolization of splenic artery to treat a steal syndrome. After 2 weeks a patient developed thrombosis of recently placed stents which was required vascular reconstruction of HA by using autovenous graft. The condition complicated by development of a cholangiogenous hepatic abscesses and sepsis despite of all used possible methods of liver graft revascularization. However, used methods of vascular correction, which combined of timely carried out intensive care and antibiotic therapy according microbiology laboratory results allows saving graft function. After treatment of septic complications and patient’s somatic status stabilization and normalization of laboratory results liver retransplantation was performed. |
| first_indexed | 2024-04-10T00:52:14Z |
| format | Article |
| id | doaj.art-b08bef65a1b64cf4b34175818233ecf0 |
| institution | Directory Open Access Journal |
| issn | 1995-1191 |
| language | Russian |
| last_indexed | 2024-04-10T00:52:14Z |
| publishDate | 2019-10-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Vestnik Transplantologii i Iskusstvennyh Organov |
| spelling | doaj.art-b08bef65a1b64cf4b34175818233ecf02023-03-13T10:37:25ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912019-10-01213768310.15825/1995-1191-2019-3-76-83806A case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsisD. A. Granov0A. A. Polikarpov1I. I. Tileubergenov2V. N. Zhuikov3A. V. Moiseenko4A. R. Sheraliev5I. G. Kardanova6A.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian FederationA.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian FederationA.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian FederationA.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian FederationA.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian FederationA.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian FederationA.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian FederationIn this present case report during liver transplantation a patient was developed dissection of hepatic artery (HA) which was noticed after arterial reconstruction step. In one hour after surgery at intervention operating room stent placement of HA was performed. At early postoperative period by hepatic angiography study indicated for a second stent placement of HA, also embolization of splenic artery to treat a steal syndrome. After 2 weeks a patient developed thrombosis of recently placed stents which was required vascular reconstruction of HA by using autovenous graft. The condition complicated by development of a cholangiogenous hepatic abscesses and sepsis despite of all used possible methods of liver graft revascularization. However, used methods of vascular correction, which combined of timely carried out intensive care and antibiotic therapy according microbiology laboratory results allows saving graft function. After treatment of septic complications and patient’s somatic status stabilization and normalization of laboratory results liver retransplantation was performed.https://journal.transpl.ru/vtio/article/view/1066liver retransplantationhepatic artery (ha) thrombosisstent placement of habile ducts necrosissepsishepatic abscessessplenic artery steal syndrome |
| spellingShingle | D. A. Granov A. A. Polikarpov I. I. Tileubergenov V. N. Zhuikov A. V. Moiseenko A. R. Sheraliev I. G. Kardanova A case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsis Vestnik Transplantologii i Iskusstvennyh Organov liver retransplantation hepatic artery (ha) thrombosis stent placement of ha bile ducts necrosis sepsis hepatic abscesses splenic artery steal syndrome |
| title | A case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsis |
| title_full | A case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsis |
| title_fullStr | A case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsis |
| title_full_unstemmed | A case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsis |
| title_short | A case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsis |
| title_sort | case report of successful liver retransplantation in patient with early hepatic artery thrombosis complicated by bile ducts necrosis and sepsis |
| topic | liver retransplantation hepatic artery (ha) thrombosis stent placement of ha bile ducts necrosis sepsis hepatic abscesses splenic artery steal syndrome |
| url | https://journal.transpl.ru/vtio/article/view/1066 |
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