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- W4312394284 abstract "Piggyback orthotopic liver transplantation is mandatory when a patient can’t stand a vena cava clamping due to cardiac intolerance. If right and middle suprahepatic veins are separated (due to atrophic right liver and hypertrophic left liver), and cava clamping is not an option, performing the anastomosis with only the middle and left suprahepatic veins might end up in a reduced venous outflow and an acute Budd Chiari Syndrome could be developed. This scenery will end up with a graft failure. There is an old technique sometimes forgotten that can prevent this to happen described by Stieber in 1995: adding an anastomosis between the recipient’s preserved retrohepatic inferior vena cava and the donor infrahepatic inferior vena cava in an end to side fashion. We have performed this type of solution in 3 cases avoiding Budd Chiari syndrome and graft loss." @default.
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- W4312394284 date "2022-01-01" @default.
- W4312394284 modified "2023-10-16" @default.
- W4312394284 title "Revival of an Old Technique" @default.
- W4312394284 doi "https://doi.org/10.1016/j.hpb.2022.05.1317" @default.
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