How to do liver transplantation using liver allografts with damaged supra‐hepatic inferior vena cava

During deceased donor procurement, the heart procurement team may cut the supra‐hepatic inferior vena cava (IVC) too close to the liver surface, depriving the liver allograft from having enough supra‐hepatic IVC to perform the anastomosis with the recipient's IVC or hepatic veins. In such insta...

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Bibliographic Details
Published in:ANZ journal of surgery 2020-10, Vol.90 (10), p.2082-2083
Main Authors: Chedid, Marcio F., Albuquerque, Henrique W., Guerra, Gilda, Chedid, Aljamir D., Leipnitz, Ian, Pereira, Pedro F., Schramm, Ricardo V., Kruel, Cleber R. P., Grezzana‐Filho, Tomaz J. M.
Format: Article
Language:English
Subjects:
Allografts
Anastomosis
Anastomosis, Surgical
Hepatic Veins - surgery
Humans
Liver
Liver - surgery
Liver Transplantation
Liver transplants
Living Donors
Procurement
Transplantation
Vena Cava, Inferior - surgery
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Summary:During deceased donor procurement, the heart procurement team may cut the supra‐hepatic inferior vena cava (IVC) too close to the liver surface, depriving the liver allograft from having enough supra‐hepatic IVC to perform the anastomosis with the recipient's IVC or hepatic veins. In such instances, liver grafts usually are deemed as non‐appropriate for transplantation, being discarded. Here we report a technique for reconstruction of damaged supra‐hepatic IVCs through the use of a segment of the infra‐hepatic IVC of the liver graft.
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.16178