Living Donor Liver Transplantation for Budd-Chiari Syndrome Using Cryopreserved Vena Cava Graft in Posthepatic Vena Cava Reconstruction_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YAN Lnan , LI Bo , ZENG Yong , WEN Tianfu , ZHAO Jichun , XU Mingqing , WANG Wentao , YANG Jiayin , MA Yukui , WU Hong , CHEN Zheyu , PAN Guangdong.

Department of General Surgery, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Living donor liver transplantation Budd-Chiari syndrome Inferior vena cava

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【Abstract】ObjectiveTo report the author’s experience with the first case of an adult-to-adult living donor liver transplantation (LDLT) for Budd-Chiari syndrome (BCS) using cryopreserved vena cava graft in postheptic vena cava reconstruction.
MethodsA 35-year-old male patient with a diagnosis of BCS complicated with inferior vena cava (IVC) obstruction received medical treatment and radiologic intervention for nine months, no relief of the symptoms could be achieved. Finally, the patient underwent LDLT, which required posthepatic vena cava reconstructed using cryopreserved vena cava graft.
ResultsThe patient has had an uneventful course since the LDLT.
ConclusionWe believe that LDLT combined with posthepatic IVC reconstruction using cryopreserved vena cava graft is considered to be a sound modality for IVC obstructed BCS.

Citation： YAN Lnan,LI Bo,ZENG Yong,WEN Tianfu,ZHAO Jichun,XU Mingqing,WANG Wentao,YANG Jiayin,MA Yukui,WU Hong,CHEN Zheyu,PAN Guangdong.. Living Donor Liver Transplantation for Budd-Chiari Syndrome Using Cryopreserved Vena Cava Graft in Posthepatic Vena Cava Reconstruction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(1): 82-84下转88. doi: Copy

1.	Putnam CW, Porter KA, Weil R 3rd, et al. Liver transplantation of BuddChiari syndrome [Ｊ]. JAMA, 1976; 236(10)∶1142.
2.	Wang ZG, Jones RS. BuddChiari syndrome [Ｊ]. Curr Probl Surg, 1996; 33(2)∶83.
3.	Melear JM, Goldstein RM, Levy MF, et al. Hematologic aspects of liver transplantation for BuddChiari syndrome with special reference to myeloproliferative disorders [Ｊ]. Transplantation, 2002; 74(8)∶1090.
4.	Orloff MJ, Daily PO, Orloff SL, et al. A 27year experience with surgical treatment of BuddChiari syndrome [Ｊ]. Ann Surg, 2000; 232(3)∶340.
5.	Slakey DP, Klein AS, Venbrux AC, et al. BuddChiari syndrome: current management options [Ｊ]. Ann Surg, 2001; 233(4)∶522.
6.	Srinivasan P, Rela M, Prachalias A, et al. Liver transplantation for BuddChiari syndrome [Ｊ]. Transplantation, 2002; 73(6)∶973.
7.	Shaked A, Goldstein RM, Klintmalm GB, et al. Portosystemic shunt versus orthotopic liver transplantation for the BuddChiari syndrome [Ｊ]. Surg Gynecol Obstet, 1992; 174(6)∶453.
8.	Bismuth H, Sherlock DJ. Portasystemic shunting versus liver transplantation for the BuddChiari syndrome [Ｊ]. Ann Surg, 1991; 214(5)∶581.
9.	Nezakatgoo N, MalekHosseini SA, Salahi H, et al. Lessons learned from the first successful livingrelated liver transplantation [Ｊ]. Transplant Proc, 1999; 31(8)∶3171.
10.	Haberal M, Karakayali H, Boyacioglu S, et al. Successful livingrelated heterotopic auxiliary liver transplantation for chronic BuddChiari syndrome [Ｊ]. Transplant Proc, 1999; 31(7)∶2902.
11.	Yasutomi M, Egawa H, Kobayashi Y, et al. Living donor liver transplantation for BuddChiari syndrome with inferior vena cava obstruction and associated antiphospholipid antibody syndrome [Ｊ]. J Pediatr Surg, 2001; 36(4)∶659.
12.	严律南, 文天夫, 李波, 等. 成人成人活体肝移植一例报告 [Ｊ]. 中华肝胆外科杂志, 2002; 8(10)∶634.
13.	Harms J, Bartels M, Bourquain H, et al. Computerized CTbased 3D visualization technique in living related liver transplantation [Ｊ]. Transplant Proc, 2005; 37(2)∶1059.
14.	Tanaka K, Ogura Y. “Smallforsize graft” and “smallforsize syndrome” in living donor liver transplantation [Ｊ]. Yonsei Med J， 2004; 45(6)∶1089.
15.	Oya H, Sato Y, Yamamoto S, et al. Surgical procedures for decompression of excessive shear stress in smallforsize living donor liver transplantation——new hepatic vein reconstruction [Ｊ]. Transplant Proc, 2005; 37(2)∶1108.
16.	TuttleNewhall JE, Collins BH, Desai DM, et al. The current status of living donor liver transplantation [Ｊ]. Curr Probl Surg, 2005; 42(3)∶14417Curran C. Adulttoadult living donor liver transplantation: history, current practice, and implications for the future [Ｊ]. Prog Transplant, 2005; 15(1)∶36.
17.	Langer B, Stone RM, Colapinto RF, et al. Clinical spectrum of the BuddChiari syndrome and its surgical management [Ｊ]. Am J Surg, 1975; 129(2)∶137.
18.	Terabayashi H, Okuda K, Nomura F, et al. Transformation of inferior vena caval thrombosis to membranous obstruction in a patient with the lupus anticoagulant [Ｊ]. Gastroenterology, 1986; 91(1)∶219.
19.	Shaked A, Goldstein R. Transplantation for BuddChiari syndrome [A]. In Busuttil RW, Klintmalm GB(eds). Transplantation of the liver [M]. Philadelphia: Saunders, 1996∶138-144.
20.	Halff G, Todo S, Tzakis AG, et al. Liver transplantation for the BuddChiari syndrome [Ｊ]. Ann Surg, 1990; 211(1)∶43.
21.	Faust TW. BuddChiari syndrome [Ｊ]. Curr Treat Options Gastroenterol, 1999; 2(6)∶491.
22.	Martin LG, Henderson JM, Millikan WJ Jr, et al. Angioplasty for longterm treatment of patients with BuddChiari syndrome [Ｊ]. AJR Am J Roentgenol, 1990; 154(5)∶1007.
23.	Kugelmas M. BuddChiari syndrome. Treatment options and the value of liver transplantation [Ｊ]. Hepatogastroenterology, 1998; 45(23)∶1381.
24.	Yan LN, Wang W, Li B, et al. Venovenous bypass ahead of mobilization of the liver in orthotopic liver transplantation [Ｊ]. Hepatobiliary Pancreat Dis Int, 2003; 2(1)∶44.

1. Putnam CW, Porter KA, Weil R 3rd, et al. Liver transplantation of BuddChiari syndrome [Ｊ]. JAMA, 1976; 236(10)∶1142.
2. Wang ZG, Jones RS. BuddChiari syndrome [Ｊ]. Curr Probl Surg, 1996; 33(2)∶83.
3. Melear JM, Goldstein RM, Levy MF, et al. Hematologic aspects of liver transplantation for BuddChiari syndrome with special reference to myeloproliferative disorders [Ｊ]. Transplantation, 2002; 74(8)∶1090.
4. Orloff MJ, Daily PO, Orloff SL, et al. A 27year experience with surgical treatment of BuddChiari syndrome [Ｊ]. Ann Surg, 2000; 232(3)∶340.
5. Slakey DP, Klein AS, Venbrux AC, et al. BuddChiari syndrome: current management options [Ｊ]. Ann Surg, 2001; 233(4)∶522.
6. Srinivasan P, Rela M, Prachalias A, et al. Liver transplantation for BuddChiari syndrome [Ｊ]. Transplantation, 2002; 73(6)∶973.
7. Shaked A, Goldstein RM, Klintmalm GB, et al. Portosystemic shunt versus orthotopic liver transplantation for the BuddChiari syndrome [Ｊ]. Surg Gynecol Obstet, 1992; 174(6)∶453.
8. Bismuth H, Sherlock DJ. Portasystemic shunting versus liver transplantation for the BuddChiari syndrome [Ｊ]. Ann Surg, 1991; 214(5)∶581.
9. Nezakatgoo N, MalekHosseini SA, Salahi H, et al. Lessons learned from the first successful livingrelated liver transplantation [Ｊ]. Transplant Proc, 1999; 31(8)∶3171.
10. Haberal M, Karakayali H, Boyacioglu S, et al. Successful livingrelated heterotopic auxiliary liver transplantation for chronic BuddChiari syndrome [Ｊ]. Transplant Proc, 1999; 31(7)∶2902.
11. Yasutomi M, Egawa H, Kobayashi Y, et al. Living donor liver transplantation for BuddChiari syndrome with inferior vena cava obstruction and associated antiphospholipid antibody syndrome [Ｊ]. J Pediatr Surg, 2001; 36(4)∶659.
12. 严律南, 文天夫, 李波, 等. 成人成人活体肝移植一例报告 [Ｊ]. 中华肝胆外科杂志, 2002; 8(10)∶634.
13. Harms J, Bartels M, Bourquain H, et al. Computerized CTbased 3D visualization technique in living related liver transplantation [Ｊ]. Transplant Proc, 2005; 37(2)∶1059.
14. Tanaka K, Ogura Y. “Smallforsize graft” and “smallforsize syndrome” in living donor liver transplantation [Ｊ]. Yonsei Med J， 2004; 45(6)∶1089.
15. Oya H, Sato Y, Yamamoto S, et al. Surgical procedures for decompression of excessive shear stress in smallforsize living donor liver transplantation——new hepatic vein reconstruction [Ｊ]. Transplant Proc, 2005; 37(2)∶1108.
16. TuttleNewhall JE, Collins BH, Desai DM, et al. The current status of living donor liver transplantation [Ｊ]. Curr Probl Surg, 2005; 42(3)∶14417Curran C. Adulttoadult living donor liver transplantation: history, current practice, and implications for the future [Ｊ]. Prog Transplant, 2005; 15(1)∶36.
17. Langer B, Stone RM, Colapinto RF, et al. Clinical spectrum of the BuddChiari syndrome and its surgical management [Ｊ]. Am J Surg, 1975; 129(2)∶137.
18. Terabayashi H, Okuda K, Nomura F, et al. Transformation of inferior vena caval thrombosis to membranous obstruction in a patient with the lupus anticoagulant [Ｊ]. Gastroenterology, 1986; 91(1)∶219.
19. Shaked A, Goldstein R. Transplantation for BuddChiari syndrome [A]. In Busuttil RW, Klintmalm GB(eds). Transplantation of the liver [M]. Philadelphia: Saunders, 1996∶138-144.
20. Halff G, Todo S, Tzakis AG, et al. Liver transplantation for the BuddChiari syndrome [Ｊ]. Ann Surg, 1990; 211(1)∶43.
21. Faust TW. BuddChiari syndrome [Ｊ]. Curr Treat Options Gastroenterol, 1999; 2(6)∶491.
22. Martin LG, Henderson JM, Millikan WJ Jr, et al. Angioplasty for longterm treatment of patients with BuddChiari syndrome [Ｊ]. AJR Am J Roentgenol, 1990; 154(5)∶1007.
23. Kugelmas M. BuddChiari syndrome. Treatment options and the value of liver transplantation [Ｊ]. Hepatogastroenterology, 1998; 45(23)∶1381.
24. Yan LN, Wang W, Li B, et al. Venovenous bypass ahead of mobilization of the liver in orthotopic liver transplantation [Ｊ]. Hepatobiliary Pancreat Dis Int, 2003; 2(1)∶44.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Living Donor Liver Transplantation for Budd-Chiari Syndrome Using Cryopreserved Vena Cava Graft in Posthepatic Vena Cava Reconstruction

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