Portal Steal Syndrome After Full-Size Deceased Donor Liver Transplantation. WMJ 2016 Jun;115(3):147-50
Date
07/23/2016Pubmed ID
27443092Scopus ID
2-s2.0-84973442667 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
Successful liver transplantation typically results in an immediate decrease in intrahepatic resistance accompanied by an initial increased hepatopedal portal flow. Within a short period of time, the portal hypertension resolves and the variceal shunts involute. However, in situations in which intrahepatic vascular resistance to venous flow remains elevated, significant hepatofugal portal flow may continue through persistent mesenteric shunts. This situation, portal steal, can result in decreased perfusion of the liver graft leading to graft dysfunction, failure, and potentially recipient death. This report details a case and the surrounding literature to highlight appropriate diagnosis and management in these patients.
Author List
Dua A, McElroy L, Wochinski A, Hong JC, Cronin DCAuthor
Abby Rothstein MD Assistant Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
FemaleHumans
Liver Function Tests
Liver Transplantation
Middle Aged
Portal Vein
Postoperative Complications
Reoperation
Ultrasonography
