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Artigo Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

Reconstrução arterial no transplante hepático: a melhor reconstrução para variação da artéria hepática direita

2013; Colégio Brasileiro de Cirurgia Digestiva; Volume: 26; Issue: 1 Linguagem: Inglês

10.1590/s0102-67202013000100014

2317-6326

Wellington Andraus, Luciana Haddad, Liliana Ducatti, Rodrigo Bronze de Martino, Vinícius Rocha-Santos, Luiz Augusto Carneiro D’Albuquerque,

Liver Disease and Transplantation

Variations on the anatomy of the hepatic artery are common, with incidence of 20-50%. In liver transplantation, back-table reconstruction is often necessary for an easier and prompt arterial anastomosis and so, the use of arterial patches has been related to lower the incidence of complications. However, when a right hepatic artery variation from the superior mesenteric artery is present, the reconstruction occasionally produces twisting and flow problems.Is described a surgical alternative for right hepatic artery variation reconstruction using a Carrel-patch from the superior mesenteric artery. The patch is anastomosed with the splenic artery stump to allow vertical orientation and improve blood flow.Among 120 liver transplants, four consecutive cases of right hepatic artery variation were reconstructed using this technique. All of them showed good flow and patency in postoperative period.The proposed technique proved to be an interesting alternative for the reconstruction of right hepatic artery variation in liver transplantation.