Miranda LE, Leitão L, Jucá N, Lacerda CM. Dissection of the Hepatic Artery: A Rare Cause of Late Ischemia After Liver Transplant.
EXP CLIN TRANSPLANT 2019;
18:641-644. [PMID:
31250739 DOI:
10.6002/ect.2019.0016]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Hepatic artery dissection is an infrequent vascular complication that can arise after orthotopic liver transplant. Most patients with this complication are diagnosed during the intraoperative period or the first days after liver transplant, with an association shown with living-donor liver transplant. In this study, we discuss a rare case of an extrahepatic artery dissection that was successfully managed through surgical excision and arterial revascularization that was diagnosed 4 years after orthotopic liver transplant. Furthermore, we hypothesize on the potential causes of its occurrence.
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