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Case Reports in Medicine
Volume 2010, Article ID 595289, 3 pages
Case Report

Combined Piggyback Technique and Cavoportal Hemitransposition for Liver Transplant

Division of Transplant Surgery, Department of Transplant, University of Colorado Denver, 1635 Aurora Ct, C318, Aurora, CO 80045, USA

Received 20 May 2010; Accepted 24 June 2010

Academic Editor: Yasuhiko Sugawara

Copyright © 2010 Jeffrey Campsen and Igal Kam. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Portal Vein thrombosis (PVT) increases the difficulty of liver transplant; however, it is not an absolute contraindication. Cavoportal hemitransposition (CPH) is an option for patients with complete PVT and no alternative collateral vein. Our center often performs the piggyback technique for the hepatic vein reconstruction, which allows for great access to the recipient vena cava in patients with known complete PVT that may need a CPH preformed to successfully restore flow to the portal system of the donor liver. We describe the use of the piggy-back technique to prepare the vena cava for possible CPH in patients with known complete PVT.