Thoracoabdominal bypass graft with liver retransplantation for the treatment of a pseudoaneurysm of the supraceliac aorta after liver transplantation

Roberto Verzaro, Seigo Nishida, Michael Angelis, Farruk Khan, Andreas Tzakis

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Pseudoaneurysm following liver transplantation is a rare but life-threatening complication. Treatment is directed towards control of fatal bleeding. Ligation with or without revascularization of the graft is the treatment of choice. When revascularization is not possible, or the liver does not tolerate the arterial blood deprivation, retransplantation is the only option. We report a case of a 14-month-old girl who developed a pseudoaneurysm at the anastomosis between the recipient supraceliac aorta and the donor graft. The pseudoaneurysm was excised and the aorta was ligated above and below it. An extra-anatomical thoracoabdominal arterial graft was used to provide arterial blood supply to the lower torso and also to arterialize a new orthotopic liver graft. This is the first reported case of the use of thoracoabdominal jump graft to vascularize a transplanted liver.

Original languageEnglish (US)
Pages (from-to)64-68
Number of pages5
JournalPediatric Transplantation
Volume5
Issue number1
DOIs
StatePublished - Mar 10 2001

Keywords

  • Extra-anatomic bypass
  • Hepatic artery
  • Liver transplant
  • Pseudoaneurysm

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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