Hepatic artery reconstruction using a graft procured from a donor with Intra-peritoneal widespread dissecting aneurysm intra-operative: a case report and literature review
10.3760/cma.j.cn421203-20190511-00221
- VernacularTitle:腹腔内广泛夹层动脉瘤供肝术中肝动脉重建一例报道
- Author:
Zhigui ZENG
1
;
Lin WEI
;
Zhijun ZHU
;
Liying SUN
;
Wei QU
;
Ying LIU
;
Jun WANG
;
Yule TAN
;
Liuxin ZHOU
Author Information
1. 首都医科大学附属北京友谊医院肝脏移植中心 国家消化系统疾病临床医学研究中心 100050
- From:
Chinese Journal of Organ Transplantation
2020;41(5):294-296
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical feasibility and efficacy of using donated liver procured from donors complicated with intra-peritoneal widespread dissecting aneurysm.Methods:One case of liver donation was assigned to our center from COTRS. Intra-peritoneal widespread dissecting aneurysm was detected intraoperatively with an involvement of coeliac trunk until artery superior to bifercation of HA (hepatic artery). HA reconstruction was extremely challenging. With the final attempt of using donors artery next to hilus lienis as a bridge vessel, success of reconstruction was achieved.Results:During an early postoperative period, satisfactory graft blood flow was established without surgical complications, the patient was discharged smoothly. At Month 13, blood flow of graft remained decent.Conclusions:Through a review of the relevant articles, a few cases have been successful using of donated liver from donors with intra-peritoneal dissecting aneurysm as long as proper hepatic artery is not involved and the difficulty of HA reconstruction remains relatively low. As for widespread intra-peritoneal dissecting aneurysm, donor liver should be employed cautiously.
