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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 268 - 274 (7page)
- DOI
- 10.4285/kjt.21.0009
이용수
초록· 키워드
오류제보하기
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.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Stange BJ / 2003 / Hepatic artery thrombosis after adult liver transplantation / Liver Transpl 9:612~620
Abou El-Ella K / 2001 / Outcome and risk factors of hepatic artery thrombosis after orthotopic liver transplantation in adults / Transplant Proc 33:2712~2713
Song S / 2015 / Single-center experience of consecutive 522 cases of hepatic artery anastomosis in living-donor liver transplantation / Transplant Proc 47:1905~1911
Ahn CS / 2012 / Right gastroepiploic artery is the first alternative inflow source for hepatic arterial reconstruction in living donor liver transplantation / Transplant Proc 44:451~453
Park GC / 2019 / Overcoming hepatic artery thrombosis after living donor liver transplantations : an experience from Asan Medical Center / Ann Transplant 24:588~593
Abou El-Ella K / 2001 / Outcome and risk factors of hepatic artery thrombosis after orthotopic liver transplantation in adults / Transplant Proc 33:2712~2713
Song S / 2015 / Single-center experience of consecutive 522 cases of hepatic artery anastomosis in living-donor liver transplantation / Transplant Proc 47:1905~1911
Ahn CS / 2012 / Right gastroepiploic artery is the first alternative inflow source for hepatic arterial reconstruction in living donor liver transplantation / Transplant Proc 44:451~453
Park GC / 2019 / Overcoming hepatic artery thrombosis after living donor liver transplantations : an experience from Asan Medical Center / Ann Transplant 24:588~593
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