Background
Right-lobe grafts without the middle hepatic vein (MHV) can cause severe congestion
of the anterior segment in living-donor liver transplantation (LDLT). However, the
indications and methods for reconstructing the MHV or its tributaries remain controversial.
Methods
We herein describe two cases of the successful use of the recipient’s recanalized
umbilical vein as an interposition graft to drain the major MHV tributaries in right-lobe
LDLTs.
Results
After surgery, both right-lobe grafts are currently functioning well and all of the
reconstructed venous tributaries have been confirmed to be patent by doppler ultrasonography.
The histopathological features of the recanalized umbilical vein showed an intact
intima with thickened media.
Conclusions
The use of the recipient’s recanalized umbilical vein is a good option for reconstructing
MHV tributaries in right-lobe LDLTs.
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References
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Article info
Publication history
Accepted:
August 16,
2005
Identification
Copyright
© 2006 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
