Emergent Liver Transplantation to Salvage a Hepatic Avulsion Injury With a Disrupted Suprahepatic Vena Cava

Long Bin Benjamin Jeng, Chih Hung Hsu, Chih Shi Wang, Ray Jade Chen, Shin Cheh Chen, Miin Chen

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

Liver transplantation offers the last chance to salvage a patient with an irreparable liver injury. We report a case with hepatic avulsion and disruption of the suprahepatic vena cava that could not be repaired by conventional methods. General circulation was restored during the anhepatic phase with an end-to-end portacaval shunt, and a Gott tube (heparin coated) was interposed between the right femoral vein and right atrium. The total anhepatic phase lasted about 20 hours. The graft functioned well even though the patient died of herpes simplex virus infection 25 days postoperatively. While the patient was waiting for the donor, we used a quick and effective approach to maintain the patient's condition. (Arch Surg. 1993;128:1075-1077).

Original languageEnglish
Pages (from-to)1075-1077
Number of pages3
JournalArchives of Surgery
Volume128
Issue number9
DOIs
Publication statusPublished - 1993
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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