Portal vein-variceal anastomosis for portal vein inflow reconstruction in orthotopic liver transplantation: A case report and review of literature

Abstract

Background: Portal vein thrombosis (PVT) is a frequent complication occurring in 5% to 26% of cirrhotic patients candidates for liver transplantation (LT). In cases of extensive portal and or mesenteric vein thrombosis, complex vascular reconstruction of the portal inflow may become necessary for a successful orthotopic LT (OLT).

Case summary: A 54-year-old male with history of cirrhosis secondary to schistosomiasis complicated with extensive portal and mesenteric vein thrombosis and severe portal hypertension who underwent OLT with portal vein-left gastric vein anastomosis.

Conclusion: We review the various types of PVT, the portal venous inflow reconstruction techniques.

Keywords: Case report; Left gastric varix; Orthotopic liver transplantation; Portal inflow reconstruction; Portal vein thrombosis; Splanchnic varices.