ArticleJournal of surgical case reports2025
Emergency liver retransplantation for acute arterial thrombosis in a liver multi-transplanted patient: a case report.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Liver retransplantation is a technically demanding procedure, particularly in patients with complex surgical histories and vascular complications such as hepatic artery thrombosis (HAT). We report the case of a 25-year-old woman who underwent a third liver transplant for graft cirrhosis. The procedure was technically demanding due to multiple adhesions, porta hepatic fibrosis, portal hypertension, and hypoplastic vasculature. Arterial reconstruction used an end-to-side anastomosis between the donor's celiac trunk and the recipient's splenic artery. On postoperative day 3, she underwent acute HAT and needed an urgent retransplantation (fourth liver). A new arterial anastomosis was created between the origin of the splenic artery and a Carrel patch from the donor's celiac trunk. The patient made a full recovery. This case highlights the technical challenges of liver retransplantation and the importance of individualized vascular strategies.
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