SciELO - Scientific Electronic Library Online

 
vol.27 issue6Analysis of the histopathologic alterations of the livers in rats pretreated with allopurinol and submitted to hepatic ischemia: reperfusionMalignant tumors of the small intestine author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Abstract

COELHO, Júlio Cezar Uili et al. Vascular complications after liver transplantation. Rev. Col. Bras. Cir. [online]. 2000, vol.27, n.6, pp.378-382. ISSN 0100-6991.  http://dx.doi.org/10.1590/S0100-69912000000600004.

BACKGROUND: The authors present the vascular complications observed in an academic Brazilian hepatic transplantation division. METHODS: Hospital charts of all patients who were submitted to a liver transplantation between of September 1991 and January 2000, were evaluated to determine vascular complications and to correlated them to clinical data and surgical procedures. RESULTS: Of a total of 169 tranplantations performed, four were from living related donors and 9 retransplantations. Twenty-four vascular complications (14,3%) were identified in 22 patients (13,0%), the most common being hepatic artery thrombosis (15 cases) and portal vein thrombosis (4 cases). Complications of the infra and suprahepatic vena cava were observed in three cases (1,8%). Vascular complications were more common in children (26,06%) than in adults (13,14%) (p<0,05). From the patients with hepatic artery thrombosis, one was submitted to an angioplasty, one to a thrombectomy, while eight underwent retransplantation and five died waiting for retransplantation. Of the patients with portal vein thrombosis, two died, one submitted to an endovascular stent placement, and one to conservative treatment. Patients with stenosis of the portal vein and of the infra and suprahepatic inferior vena cava received a conservative treatment, with good clinical recovery. CONCLUSION: Vascular complications are frequent after liver transplantation, mainly with children. They are associated with an elevated rate of morbidity, mortality and retransplantation.

Keywords : Hepatic transplantation; Vascular complications; Venous thrombosis; Arterial thrombosis.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License