RT Book, Section
A1 Bhangui, Prashant
A1 Salloum, Chady
A1 Lim, Chetana
A1 Azoulay, Daniel
A2 Molmenti, Ernesto Pompeo
A2 Santibañes, Martin de
A2 Santibañes, Eduardo de
SR Print(0)
ID 1180113031
T1 Portal Vein Arterialization in Liver Transplantation
T2 Liver Transplantation: Operative Techniques and Medical Management
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781260462517
LK accesssurgery.mhmedical.com/content.aspx?aid=1180113031
RD 2024/04/19
AB A  totally  de-arterialized  liver  is  an  organ  in  which,  in  addition  to  hepatic  artery  (HA)  ligation  or  resection,  there  is  a  complete  interruption  of  all  collateral  sources  of  arterial  inflow,  including  interlobar  HAs,  peribiliary  plexus,  collaterals  in  triangular  ligaments,  and  lesser  omentum.1–4  This  may  occur  in  patients  with  hepatic  artery  thrombosis  (HAT)  after  liver  transplantation  (LT),  in  which  a  totally  dearterialized  liver  graft  to  which  the  HA  is  the  only  arterial  inflow  vessel  is  implanted.  In  these  situations,  if  the  HA  is  not  reconstructed,  biliary  ischemia  and  necrosis  are  inevitable,  and  liver  necrosis  and  fatal  liver  failure  are  possible  due  to  lack  of  adequate  oxygenation  of  the  liver.