Abstract
This report describes two rescued cases with rare complications of the hepatic artery in living-donor liver transplantation (LDLT). In both cases a segment of the autologous inferior mesenteric artery (IMA) was successfully used as an arterial graft for re-vascularization under microsurgery. The first case was that of a pseudoaneurysm of the hepatic artery, which caused massive gastrointestinal bleeding. The hepatic arteries of the pre- and post-aneurysm were divided, and the arterial graft from the recipient’s IMA was interposed for reconstruction. The second case was that of an intimal dissection of the recipient’s hepatic artery. Because the dissection extended to the root of the common hepatic artery, the autologous IMA was interposed between the donor’s hepatic artery and the proximal stump of the recipient’s splenic artery. Reconstruction using the arterial graft of the autologous IMA is feasible for re-vascularization of the hepatic artery in liver transplantation.
Similar content being viewed by others
References
Rogers J, Chavin KD, Krats JM, et al. Use of autologous radial artery for revascularization of hepatic artery thrombosis after orthotopic liver transplantation: case report and review of indications and options for urgent hepatic artery reconstruction. Liver Transplant 2001; 7:913
Inomoto T, Nishizawa F, Terajima H, et al. The use of the recipient sigmoid artery for a revision of hepatic arterial reconstruction after thrombosis in living related liver transplantation. Transplantation 1995; 60:881
Fichelle JM, Colacchio G, Castaing D, et al. Infected false hepatic artery aneurysm after orthotopic liver transplantation treated by resection and reno-hepatic vein graft. Ann Vasc Surg 1997; 11:300
Leelaudomlipi S, Bramhall SR, Gunson BK, et al. Hepatic-artery aneurysm in adult liver transplantation. Transpl Int 2003; 16:257
Madariaga J, Tzakis A, Zajko AB, et al. Hepatic artery pseudoaneurysm ligation after orthotopic liver transplantation—a report of 7 cases. Transplantation 1992; 54:824
Bonham CA, Kapur S, Geller D, et al. Excision and immediate revascularization for hepatic artery pseudoaneurysm following liver transplantation. Transplant Proc 1999; 31:443
Almogy G, Bloom A, Verstndig A, et al. Hepatic artery pseudoaneurysm after liver transplantation. Transpl Int 2002; 15:53
Figueras J, Pares D, Aranda H, et al. Results of using the recipient’s splenic artery for arterial reconstruction in liver transplantation in 23 patients. Transplantation 1997; 64:655
Settmacher U, Stange B, Haase R, et al. Arterial complications after liver transplantation. Transpl Int 2000; 13:372
Hatano E, Terajima H, Yabe H, et al. Hepatic artery thrombosis in living related liver transplantation. Transplantation 1997; 64:1443
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Asonuma, K., Ohshiro, H., Izaki, T. et al. Rescue for rare complications of the hepatic artery in living donor liver transplantation using grafts of autologous inferior mesenteric artery. Transpl Int 17, 639–642 (2004). https://doi.org/10.1007/s00147-004-0763-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00147-004-0763-y