AI Article Synopsis
- Large spontaneous portosystemic shunts (PSS) are frequently seen in liver cirrhosis, diverting blood flow and leading to liver atrophy.
- The presence of large PSS during liver transplantation (LT) can lead to complications like reduced survival rates for patients and grafts due to portal flow steal phenomena.
- The text introduces a practical solution called augmentation patch V-venoplasty for addressing atretic changes in the portal vein, accompanied by a didactical video for guidance.
Article Abstract
The development of large spontaneous portosystemic shunts (PSS) is a common finding in liver cirrhosis. The diversion of the portal flow through PSS directly into the caval system causes progressive liver atrophy and atretic changes of the portal vein. During both living and deceased donor liver transplantation (LT), persistence of large PSS has been associated to portal flow steal phenomena causing decreased patients and graft survival. Atretic changes of the portal vein and large PSS often coexist potentially representing a technical challenge during portal vein reconstruction. We herein describe (with a didactical video) an easy augmentation patch V-venoplasty used in the presence of atretic changes of the portal vein LT.
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| http://dx.doi.org/10.1007/s11605-021-05105-y | DOI Listing |
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