Mazariegos G V, Garrido V, Jaskowski-Phillips S, Towbin R, Pigula F, Reyes J
Thomas E. Starzl Transplantation Institute, University of Pittsburgh Medical Center, Department of Surgery, PA 15213, USA.
Pediatr Transplant. 2000 Nov;4(4):322-7. doi: 10.1034/j.1399-3046.2000.00124.x.
Stenosis of the hepatic vein anastomosis is an unusual but critical complication after liver transplantation. In pediatric liver transplantation, the scarcity of size-matched donors has required the use of segmental liver allografts, either as reduced-size or split-liver grafts. This report illustrates the primary use of a hepatic vein stent to manage hepatic venous outflow obstruction in a pediatric split-liver recipient, and reviews experience in the management of hepatic venous outflow obstruction after liver transplant using stent methods.
肝静脉吻合口狭窄是肝移植后一种罕见但严重的并发症。在小儿肝移植中，由于缺乏大小匹配的供体，需要使用部分肝同种异体移植物，即减体积肝移植物或劈裂肝移植物。本报告阐述了肝静脉支架在一名小儿劈裂肝移植受者中用于处理肝静脉流出道梗阻的主要应用，并回顾了使用支架方法处理肝移植后肝静脉流出道梗阻的经验。
