Li W-F, Lin T-S, Chen C-L, Concejero A, Wang S-H, Lin C-C, Liu Y-W, Yong C-C, Lin T-L, Wang C-C
Liver Transplantation Program, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Transplant Proc. 2012 Mar;44(2):581-2. doi: 10.1016/j.transproceed.2012.01.025.
Hepatic artery (HA) occlusion is a sinister complication after liver transplantation. It frequently leads to graft loss if untreated. Urgent arterial reconstruction with thrombectomy may reduce the need for retransplantation. Living donor liver transplantation (LDLT) offers further challenges due to smaller-caliber vessels, shorter vascular stumps, and occasional multiple HA. Alternatives to the HA are needed when the native HA cannot be used or when HA complications develop. We describe the use of the recipient's ileocolic artery as an alternate HA in adult LDLT. Graft revascularization and timely salvage resulted in good patient recovery. A 6-month computed tomography angiography follow-up showed patency of the alternate vessels reconstructed.
肝动脉（HA）闭塞是肝移植术后一种严重的并发症。如果不进行治疗，它常常会导致移植物丢失。紧急进行动脉重建并取栓可能会减少再次移植的需求。由于血管口径较小、血管残端较短以及偶尔存在多条肝动脉，活体肝移植（LDLT）带来了更多挑战。当无法使用自身肝动脉或出现肝动脉并发症时，需要肝动脉的替代方案。我们描述了在成人活体肝移植中使用受者的回结肠动脉作为替代肝动脉的情况。移植物血管再通和及时挽救使患者恢复良好。6个月的计算机断层扫描血管造影随访显示重建的替代血管通畅。
