Steinbrück K, Fernandes R A, Enne M, da Silva Gomes Martinho J M, da Silva Alves J A, Pacheco-Moreira L F
Liver Transplantation Unit, Bonsucesso General Hospital/MS, Rio de Janeiro, Brazil.
Transplant Proc. 2010 Mar;42(2):597-8. doi: 10.1016/j.transproceed.2010.01.048.
Liver transplantation is a complex procedure that has become the treatment for some end-stage liver diseases. Some technical features are important for the success of the transplantation, including the patency of the vascular anastomoses. In cadaveric whole organ liver transplantation, a large right subphrenic space may contribute to a twist of the inferior vena cava, leading to outflow obstruction, simulating an acute Budd-Chiari syndrome. Some devices can be used to correct this drainage problem. Herein, we have described 2 cases in which the Sengstaken-Blakemore balloon was safely used, in an ectopic position, to fix drainage complications in whole liver orthotopic transplantation.
肝移植是一种复杂的手术，已成为某些终末期肝病的治疗方法。一些技术特征对移植的成功至关重要，包括血管吻合的通畅性。在尸体全器官肝移植中，较大的右膈下间隙可能导致下腔静脉扭曲，导致流出道梗阻，类似于急性布加综合征。一些装置可用于纠正这种引流问题。在此，我们描述了2例在全肝原位移植中，将Sengstaken-Blakemore球囊安全地用于异位位置，以解决引流并发症的病例。
