Late Hepatic Venous Outflow Obstruction Following Inferior Vena Cava Stenting in Patient with Deceased Donor Liver Transplantation Using Modified Piggyback Technique.
10.4285/jkstn.2016.30.2.89
- Author:
Jae Min CHUN
1
;
Heontak HA
;
Young Yeon CHOI
;
Hyung Jun KWON
;
Sang Geol KIM
;
Yoon Jin HWANG
;
Hunkyu RYEOM
;
Young Seok HAN
Author Information
1. Department of Surgery, Kyungpook National University School of Medicine, Daegu, Korea. gshys@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Modified piggyback technique;
Inferior vena cava stent;
Heptic venous outflow obstruction
- MeSH:
Budd-Chiari Syndrome*;
Constriction, Pathologic;
Hemodynamics;
Humans;
Hyperplasia;
Liver Transplantation*;
Liver*;
Living Donors;
Stents*;
Tissue Donors*;
Vena Cava, Inferior*
- From:The Journal of the Korean Society for Transplantation
2016;30(2):89-93
- CountryRepublic of Korea
- Language:English
-
Abstract:
Following liver transplantation, a few reports have documented hepatic venous outflow obstruction (HVOO) after inferior vena cava (IVC) stenting for the treatment of IVC stenosis. However, HVOO occurred early after IVC stenting and was mostly associated with living donor liver transplantation. Here, we report a case of HVOO that occurred 31 months after IVC stenting in a man who received deceased donor liver transplantation (DDLT) using a modified piggyback (PB) technique. The cause of HVOO was unclear, but one possible explanation is that the balloon-expandable IVC stent might have compressed the IVC chamber on the donor liver side, which would have changed the outflow hemodynamics, resulting in intimal hyperplasia. Therefore, simultaneous hepatic venous stenting with IVC stent placement could help prevent HVOO in patients receiving DDLT with the modified PB technique.
