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Modified temporary end-to-side portocaval shunt in liver and small bowel transplantation
E P Molmenti1, J W Marsh, H Molmenti
1The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21287, USA. emolmenti@jhmi.edu
Pediatric Transplantation
|September 19, 2001
Abstract:
Piggyback orthotopic liver transplantation (LTx) has permitted the elimination of extra-corporeal venovenous bypass. In some instances, an internal temporary portocaval shunt has to be constructed in order to prevent hemodynamic instability. We describe a technique in which a donor iliac vein graft is used to bridge the distance between the portal vein and vena cava in cases where a direct shunt cannot be constructed. This technique can be applied to liver Tx as well as to liver and small bowel Tx.