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Hindi Case Report
Thrombosed Cavo-Portal Hemi-Transposition Salvaged by Digital Subtraction Angiography and Self Expanding Metallic Stent Deployment-Report of First Case and Review of Literature
Selvakumar Naganathan1*, Subash Gupta1 and Harsh Rastogi21Department of Liver Transplantation Surgery, Indraprasta Apollo Hospital, New Delhi, India
2Department of Interventional Radiology, Indraprasta Apollo Hospital, New Delhi, India
- *Corresponding Author:
- Selvakumar Naganathan
Junior Consultant, Liver Transplantation surgery
Indraprasta Apollo Hospital, 101, Sangam Appts, West Enclave
Pitampura, 110034, New Delhi, India
Tel: 9871756756
E-mail: ssnsk@ymail.com
Received date: January 24, 2017; Accepted date: April 03, 2017; Published date: April 10, 2017
Citation: Naganathan S, Gupta S, Rastogi H (2017) Thrombosed Cavo-Portal Hemi-Transposition Salvaged by Digital Subtraction Angiography and Self Expanding Metallic Stent Deployment-Report of First Case and Review of Literature. J Gastrointest Dig Syst 7:500. doi: 10.4172/2161-069X.1000500
Copyright: © 2017 Naganathan S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Cavo Portal Hemi-Transposition (CPHT) is a surgical technique used in liver transplantation (LT) to salvage low portal perfusion situations. Although non physiological it is an established surgical technique for over two decades for the aforementioned clinical situation. CPHT also may fail. Our patient was a 6 months old male child with decompensated cirrhosis secondary to extra hepatic biliary atresia. Intraoperatively there was recurrent thrombosis of portal vein anastomosis. Hence portal flow of the graft was salvaged by CPHT. However, in the immediate postoperative period there was thrombosis of CPHT. Emergency angiography and stenting of CPHT was done. At 3 years post LT the child has stable graft function and good quality of life. This is the first case of this kind to be reported in the literature.
