Good Outcome Following Liver Transplantation Using Pericardial-peritoneum Window for Hepato-atrial Anastomosis to Overcome Advanced Hepatic Alveolar Echinococcosis and Secondary Budd-Chiari Syndrome - a Case Report

Overview

Journal BMC Surg

Publisher Biomed Central

Specialty General Surgery

Date 2017 Jan 15

PMID 28086841

Citations 2

Authors

Konrad Kobryn

Rafal Paluszkiewicz

Krzysztof Dudek

Urszula Oldakowska-Jedynak

Michal Korba

Joanna Raszeja-Wyszomirska

Piotr Remiszewski

Michal Grat

Piotr Milkiewicz

Waldemar Patkowski

Marek Krawczyk

Affiliations

Soon will be listed here.

Abstract

Background: This report presents a case of a 57- year old female with advanced Hepatic Alveolar Echinococcosis causing a secondary Budd-Chiari Syndrome due to infiltration of the suprahepatic inferior vena cava treated successfully by liver transplantation.

Case Presentation: A temporary veno-venous bypass was introduced, but a typical end to end cavo-caval anastomosis wasn't possible in this case. In order to access a disease free part of the inferior vena cava, an oval window of the diaphragm was excised, providing communication between the peritoneum and pericardium. A vascular clamp was placed onto the right atrium which allowed for an atrial-caval anastomosis. The remainder of hepatectomy was performed in a conventional manner. In the post-operative period and during the 18 month follow-up there were no complications. The patient remains in good general condition with optimal graft function.

Conclusions: A hepato-atrial anastomosis with a pericardial-peritoneum window during liver transplantation is feasible and extends the curability potential for patients with advanced Hepatic Alveolar Echinococcosis considered for liver transplantation.

Citing Articles

Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis.

Calame P, Weck M, Busse-Cote A, Brumpt E, Richou C, Turco C Insights Imaging. 2022; 13(1):68.

PMID: 35394226 PMC: 8994011. DOI: 10.1186/s13244-022-01190-y.

Left trisectionectomy and supra-hepatic caval reconstruction with vascular prosthesis for chronic Budd-Chiari syndrome caused by hepatic alveolar echinococcosis.

Ran B, Jiang T, Yasen A, Aini A, Guo Q, Zhang R Chin Med J (Engl). 2019; 132(23):2886-2888.

PMID: 31856063 PMC: 6940081. DOI: 10.1097/CM9.0000000000000521.

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