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Wiley InterScience

Pediatric Transplantation

Pediatric Transplantation

Volume 8 Issue 4, Pages 416 - 419

Published Online: 19 Jul 2004

Journal compilation © 2010 Wiley Periodicals, Inc.



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Liver retransplantation in an infant requiring cavoportal hemi transposition
Deborah VerranMichael Crawford 1 , Michael Stormon 2 and Albert Shun 2
  1 Liver Transplantation Unit, Royal Prince Alfred Hospital, Camperdown, NSW, Australia ,   2 Pediatric Surgery/Hepatology, The Childrens Hospital, Westmead, NSW, Australia
Correspondence to Dr Deborah Verran, Liver Transplant Unit, 9E, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia
Tel.: 612 9515 7275
Fax: 612 9515 6329
E-mail: deborah@email.cs.nsw.gov.au
Copyright 2004 Blackwell Munksgaard
KEYWORDS
pediatric • liver • transplantation • cavoportal • hemi transposition
Verran D, Crawford M, Stormon M, Shun A. Liver retransplantation in an infant requiring cavoportal hemi transposition.
Pediatr Transplantation 2004: 8: 416–419. © 2004 Blackwell Munksgaard

ABSTRACT

Abstract: Historically inability to achieve portal inflow to the liver allograft operatively was felt to be a contraindication to orthotopic liver transplantation (OLTx). Cavoportal hemi transposition has been utilized more recently in adult OLTx recipients but rarely in pediatric recipients. Here we report the case of a 10-month-old male with biliary atresia, who required urgent retransplantation with an in situ split cadaver donor allograft for failure of his first liver allograft from portal vein thrombosis. At the time of retransplantation, cavoportal hemi transposition was required to effect portal vein inflow to the allograft because of extensive thrombosis of the recipients portomesenteric venous system.


Accepted for publication 18 December 2003

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1399-3046.2004.00196.x About DOI

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