Femoro-arterial bypass using Gott shunt in liver transplantation following severe hepatic trauma

P. J. Lin, L. B. Jeng, R. J. Chen, C. L. Kao, J. L. Chu, C. H. Chang

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The heparinized-coated tube is widely used for arterial bypass, mainly in patients with aneurysms or trauma of the thoracic aorta. Its application in venous bypass was less frequent. We report a 26-year-old woman who sustained blunt abdominal injury which resulted in complete severance of the suprahepatic hepatic vein and multiple partial lacerations of the inferior vena cava. For hemostasis, total hepatectomy with interruption of the inferior vena cava was performed. During the anhepatic phase, end-to-end portocaval anastomosis and a bypass shunt using 9 mm Gott tube from the right femoral vein to the right atrium were set up for veno-venous bypass. Orthotopic liver transplantation was performed later. Gott tube was placed for 18 hours with good venous return. We concluded that heparinized-coated tube is good for veno-venous bypass with the following advantages: 1) simple operative procedure, 2) enough flexibility to be kept out of the operative field, 3) no anticoagulant is necessary, consequently less bleeding resulted.

Original languageEnglish
Pages (from-to)295-297
Number of pages3
JournalInternational Surgery
Volume78
Issue number4
Publication statusPublished - 1993
Externally publishedYes

    Fingerprint

Keywords

  • femoro-arterial bypass
  • Gott shunt
  • liver injuries
  • liver transplantation

ASJC Scopus subject areas

  • Surgery

Cite this

Lin, P. J., Jeng, L. B., Chen, R. J., Kao, C. L., Chu, J. L., & Chang, C. H. (1993). Femoro-arterial bypass using Gott shunt in liver transplantation following severe hepatic trauma. International Surgery, 78(4), 295-297.