Uraz S, Duran C, Balci D, Akin B, Dayangac M, Kurt Z, Ayanoglu O H, Killi R, Yuzer Y, Tokat Y
Department of Organ Transplantation, Istanbul Science University, 131/9 Sisli, Istanbul 34360, Turkey.
Transplant Proc. 2007 Jun;39(5):1714-5. doi: 10.1016/j.transproceed.2006.11.009.
In humans, three main hepatic veins drain the liver into the inferior vena cava below the diaphragm. This report represents the first living donor liver that had a rare anatomic variation of the left hepatic vein draining directly to the right atrium, which was detected preoperatively by routine investigations of the living donor transplantation. This type of anomaly may present potentially fatal challenges to a donor operation if not detected preoperatively, especially when the left lobe is the choice for explantation.
在人类中，三条主要的肝静脉将肝脏引流至膈下的下腔静脉。本报告介绍了首例活体供肝，其左肝静脉存在罕见的解剖变异，直接引流至右心房，这一情况在活体供肝移植的常规术前检查中被发现。如果术前未检测到这种异常，尤其是当选择左叶作为供肝切除部位时，这种类型的异常可能会给供体手术带来潜在的致命挑战。
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