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Pediatr Transplant ; 12(1): 91-4, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18186894

RESUMO

HAT is the main cause of graft loss in pediatric living-related LTx. Revascularization of the graft by thrombectomy and re-anastomosis has been reported to be effective for graft salvage in cases of HAT and should be attempted when potential donors are not available for emergency re-transplantation. Immediate complications secondary to revascularization attempts in cases of HAT are not described. Late complications are mainly related to biliary tree ischemia. We report a case of child who experienced intimal hepatic artery dissection, which extended into intra-hepatic branches of the artery after a thrombectomy with a Fogarty balloon catheter in an attempt to restore arterial flow after HAT. This complication led to acute deterioration of the graft and the need for emergency re-transplantation.


Assuntos
Sobrevivência de Enxerto , Artéria Hepática/patologia , Transplante de Fígado/efeitos adversos , Trombose/cirurgia , Túnica Íntima/patologia , Atresia Biliar , Cateterismo , Criança , Humanos , Circulação Hepática , Transplante de Fígado/métodos , Doadores Vivos , Reoperação , Terapia de Salvação , Trombectomia , Trombose/etiologia
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