Endovascular treatment of hepatic vein stenosis following liver transplant in a child: a case report

Dr Le Thanh Dung1, Dr Vu Hoai Linh1, Dr Dao Xuan Hai1, Dr Ninh Viet Khai2, Dr Nguyen Quang Nghia2
1 Diagnostic Imaging Department – ​​Viet Duc Friendship Hospital
2 Organ Transplant Center-Viet Duc Friendship Hospital

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Abstract

Liver transplantation is the major therapeutic option for end-stage liver disease as recent improvement in surgical technique,
immune-suppressant contribute to better post-transplant outcome. However, significant graft failure as a result of vascular
complications is still noted, especially in partial liver transplant with living donor graft and complications is higher risk in children
compared with adults. The incidence of hepatic vein stenosis in pediatric liver transplant is 6% with living donor graft. A first case
of pediatric liver transplant with living donor graft which performed in Viet Duc hospital have complication of hepatic vein stenosis
and success with balloon angioplasty and stent placement.

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References

1. Carnevale FC, Borges MV, et al. (2004), Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: a case report, Pediatr Transplant, số 8(6), tr. 576-80.
2. Cheng YF, Chen CL, et al. (2005), Angioplasty treatment of hepatic vein stenosis in pediatric liver transplants: long-term results, Transpl Int, số 18(5), tr. 556-61.
3. Ko GY, Sung KB, et al. (2008), Early posttransplant hepatic venous outflow obstruction: Long-term efficacy of primary stent placement, Liver Transpl, số 14(10), tr. 1505-11.
4. Alli A, Gilroy R, và Johnson P (2013), Inferior Vena Cava Torsion and Stenosis Complicated by Compressive Pericaval Regional Ascites following Orthotopic Liver Transplantation, Case Rep Radiol, số 2013, tr. 576092.
5. Mazariegos GV, Garrido V, et al. (2000), Management of hepatic venous obstruction after split-liver transplantation, Pediatr Transplant, số 4(4), tr. 322-7.
6. Akamatsu N, Sugawara Y, et al. (2004), Surgical repair for late-onset hepatic venous outflow block after livingdonor liver transplantation, Transplantation, số 77(11), tr. 1768-70.
7. Ko GY, Sung KB, et al. (2002), Endovascular treatment of hepatic venous outflow obstruction after living-donor liver transplantation, J Vasc Interv Radiol, số 13(6), tr. 591-9.
8. Ducerf C, Rode A, et al. (1996), Hepatic outflow study after piggyback liver transplantation, Surgery, số 120(3), tr. 484-7.
9. Borsa JJ, Daly CP, et al. (1999), Treatment of inferior vena cava anastomotic stenoses with the Wallstent endoprosthesis after orthotopic liver transplantation, J Vasc Interv Radiol, số 10(1), tr. 17-22.
10. Kubo T, Shibata T, et al. (2006), Outcome of percutaneous transhepatic venoplasty for hepatic venous outflow obstruction after living donor liver transplantation, Radiology, số 239(1), tr. 285-90.