Liver transplantation (LT) in patients with hereditary hemorrhagic telangiectasia (HHT), or Rendu-Osler-Weber, disease is a problematic procedure. In patients with hepatic involvement due to clinically significant arterovenous malformations, there is high risk of intraoperative bleeding and intra- or perioperative complications. Some surgical corrections have been proposed for venous problems, concerning the vena caval anastomosis. A common finding in HHT is arterial enlargement of the celiac trunk and of the common hepatic artery. We report 2 cases of LT in HHT where the arterial anastomosis was successfully performed using the splenic artery of the recipient, which shows less tendency for enlargement than the celiac trunk.
Arterial anastomosis in liver transplantation for Rendu-Osler-Weber disease: two case reports / U. Maggi, G. Conte, G. Nita, S. Gatti, G. Paone, L. Caccamo, R. Lauro, D. Dondossola, E. Buscarini, G. Rossi. - In: TRANSPLANTATION PROCEEDINGS. - ISSN 0041-1345. - 45:7(2013 Sep), pp. 2689-2691. ((Intervento presentato al 36. convegno Congresso Nazionale S.I.T.O. tenutosi a Torino nel 2012.
Titolo: | Arterial anastomosis in liver transplantation for Rendu-Osler-Weber disease: two case reports |
Autori: | ROSSI, GIORGIO ETTORE (Ultimo) |
Settore Scientifico Disciplinare: | Settore MED/18 - Chirurgia Generale |
Data di pubblicazione: | set-2013 |
Rivista: | |
Tipologia: | Article (author) |
Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.transproceed.2013.07.018 |
Appare nelle tipologie: | 01 - Articolo su periodico |
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