Stent Placement for Treatment of Portal Vein Thrombosis in an Infant Liver Transplant Recipient

  • Ohya Yuki
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Uchida Koshi
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Kawabata Seiichi
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Hashimoto Shintaro
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Miura Kohei
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Isono Kaori
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Hayashida Shintaro
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Yamamoto Hidekazu
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Sugawara Yasuhiko
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University
  • Inomata Yukihiro
    Department of Transplantation/Pediatric Surgery, Postgraduate School of Life Science, Kumamoto University

Bibliographic Information

Other Title
  • 乳児生体肝移植後早期の門脈血栓症に対する門脈ステント留置
  • 症例報告 乳児生体肝移植後早期の門脈血栓症に対する門脈ステント留置
  • ショウレイ ホウコク ニュウジ セイタイ カン イショク ゴ ソウキ ノ モンミャク ケッセンショウ ニ タイスル モンミャク ステント リュウチ

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Abstract

<p>A 7-month-old infant who was diagnosed as having biliary atresia and had undergone Kasai operation underwent liver transplantation using a reduced left lateral segment graft. Portal vein reconstruction was performed using a donor’s inferior mesenteric vein as a patch graft. Portal vein thrombosis was suspected by ultrasonography and confirmed by portal venography 8 days after the liver transplantation. She immediately underwent percutaneous transhepatic portal venoplasty with a metal stent (7 mm–4 cm), after which she needed anticoagulation therapy. Her portal vein flow has remained patent 6 months after the liver transplantation. Percutaneous transhepatic portal venoplasty with a metal stent was minimally invasive and effective in saving her life.</p>

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