Providing Arterial Supply to the Liver Graft with Recipient Splenic Artery in Living Donor Liver Transplantation: Case Report

Author Info

Shams Uddin Hala Izzu Kaleem Ullah Abdul Wahab Dogar Syed Hasnain Abdul Ghaffar

Corresponding Author

Kaleem Ullah
Consultant, Organ Transplant Unit, Pir Abdul Qadir Shah Jillani Institute of Medical Sciences, Gambat, Sindh, Pakistan

A B S T R A C T

Hepatic arterial reconstruction is an important step in graft implantation in liver transplant procedure. Hepatic arterial anastomosis always demands meticulous and highly skilled surgical techniques to provide adequate blood supply to the graft. Hepatic arterial intimal dissection in liver transplantation is although a rare but documented complication, with incidence of less than 5%, but having dreadful complications. To overcome this complication of Recipient hepatic artery dissection, various techniques have been described by different authors. Here, in this case report we are describing technique of utilization of transposed recipient splenic artery for graft arterial inflow where native hepatic artery was dissected up to common hepatic artery. Post-operative recovery was uneventful and on follow up, patient was absolutely fine. So, recipient splenic artery is a safe alternative option in such complex situations for providing arterial blood flow to the graft and moreover it avoids the burden of extra anastomosis which is required in conduit technique.

Article Info

Article Type

Case Report

Publication history

Received: Fri 27, Nov 2020
Accepted: Tue 08, Dec 2020
Published: Thu 24, Dec 2020

Copyright

© 2023 Kaleem Ullah. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.TCR.2020.02.06