Delayed portal vein thrombosis after liver transplantation: report of 12 cases
10.3760/cma.j.issn.0254-1785.2011.07.012
- VernacularTitle:肝移植术后迟发性门静脉血栓形成12例
- Author:
Wenhui ZHANG
;
Zhijun ZHU
;
Hong ZHENG
;
Yonglin DENG
;
Cheng PAN
;
Zhongyang SHEN
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Portal vein;
Thrombosis;
Therapy
- From:
Chinese Journal of Organ Transplantation
2011;32(7):423-425
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summary therapeutic method for delayed portal vein thrombosis after liver transplantation. Methods In 3100 cases undergoing cadaveric whole liver transplantation in a single center, there were 12 cases of delayed portal vein thrombosis after liver transplantation.Average occurring time was 29. 8 months after liver transplantation. Among these 12 patients, 2 cases were complicated with severe biliary complication (intrahepatic stricture) , 2 cases presented with liver failure of transplanted liver, and one case had portal vein compression by hepatic hilum tumor under the image examination, who received liver re-transplantation; two patients presented upper gastrointestinal bleeding, and they experienced endoscopic ligation and sclerotherapy respectively; the rest five patients without any clinical presentation were subjected to anticoagulation and antiplatelet therapy. Results Among 12 cases, 8 patients survived by the time of follow-up, including two patients undergoing re-transplantation; one patient lost follow-up. The liver function tests of the patients who survived were all normal. Conclusion The individualized therapeutic methods should be adopted for the patients with delayed portal vein thrombosis after liver transplantation.
