Arterial Anastomosis in Liver Transplantation for Rendu-Osler-Weber Disease: Two Case Reports

作者：Maggi U^*; Conte G; Nita G; Gatti S; Paone G; Caccamo L; Laura R; Dondossola D; Buscarini E; Rossi G

来源：Transplantation Proceedings, 2013, 45(7): 2689-2691.

DOI：10.1016/j.transproceed.2013.07.018

Liver transplantation (LT) in patients with hereditary hemorrhagic telangiectasia (HHT), or Rendu-Osler-Weber, disease is a problematic procedure. In patients with hepatic involvement due to clinically significant arterovenous malformations, there is high risk of intraoperative bleeding and intra- or perioperative complications. Some surgical corrections have been proposed for venous problems, concerning the vena caval anastomosis. A common finding in HHT is arterial enlargement of the celiac trunk and of the common hepatic artery. We report 2 cases of LT in HHT where the arterial anastomosis was successfully performed using the splenic artery of the recipient, which shows less tendency for enlargement than the celiac trunk.

• 出版日期2013-9