Donataccio Matteo, Dalle Ore Giorgio, Donataccio Ding, Lerut Jan
Liver Transplant Program, Department of Surgery, Ospedale Maggiore, University of Verona.
Chir Ital. 2007 Nov-Dec;59(6):789-92.
A case of orthotopic liver transplantation performed in an adult, presenting postviral C cirrhosis and a residual atrial septal defect, is reported. This defect was responsible for a left-to-right shunt and moderate systolic pulmonary hypertension. Liver transplantation was done using an inferior vena cava preservation technique with a latero-lateral cavo-caval anastomosis and without veno-venous bypass in order to minimally interfere with the haemodynamic condition. This case report shows that adaptation of surgical technique may allow successful liver transplantation in cases of haemodynamically significant atrial septal defects.
报告了一例在成人中进行的原位肝移植病例，该患者患有病毒后C型肝硬化并伴有残余房间隔缺损。此缺损导致了左向右分流和中度收缩期肺动脉高压。肝移植采用下腔静脉保留技术，进行侧侧腔静脉吻合，且未使用静脉-静脉转流，以便对血流动力学状况的干扰降至最低。本病例报告表明，手术技术的调整可能使在存在血流动力学显著意义的房间隔缺损病例中成功进行肝移植。
