Use of autogenous saphenous vein as a conduit for mesenterico-left portal vein bypass

The authors describe a case of extrahepatic portal vein (EHPV) thrombosis and portal hypertension treated with a variant of mesenterico-left portal vein bypass (MLPVB) or Rex shunt. In this case, a segment of autogenous greater saphenous vein was used to bridge the distance between the left gastric...

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Bibliographic Details
Published in:Journal of pediatric surgery 2007-06, Vol.42 (6), p.1137-1140
Main Authors: Query, Julie A, Sandler, Anthony D, Sharp, William J
Format: Article
Language:English
Subjects:
Adolescent
Adrenergic beta-Antagonists - therapeutic use
Anemia - etiology
Anticoagulants - therapeutic use
Blood Vessel Prosthesis Implantation - methods
Combined Modality Therapy
Esophageal and Gastric Varices - etiology
Female
Gastrointestinal Hemorrhage - etiology
Humans
Hypertension, Portal - etiology
Hypertension, Portal - surgery
Mesenteric Veins - surgery
Pediatrics
Portal Vein - surgery
Portasystemic Shunt, Surgical - methods
Round Ligament of Uterus - abnormalities
Saphenous Vein - transplantation
Splenomegaly - etiology
Surgery
Thrombosis - complications
Thrombosis - drug therapy
Thrombosis - surgery
Transplantation, Autologous
Transplantation, Heterotopic
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Summary:The authors describe a case of extrahepatic portal vein (EHPV) thrombosis and portal hypertension treated with a variant of mesenterico-left portal vein bypass (MLPVB) or Rex shunt. In this case, a segment of autogenous greater saphenous vein was used to bridge the distance between the left gastric vein inflow and the left portal vein. Use of such nontraditional conduit in similar circumstances may expand the application of portal revascularization/decompression procedures in treating these patients.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2007.01.066