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Case Reports in Surgery
Volume 2016, Article ID 8289045, 4 pages
http://dx.doi.org/10.1155/2016/8289045
Case Report

Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation

1Gastrointestinal and Hepato-Pancreato-Biliary Surgical Division, Universidade Federal de Ciências da Saúde de Porto Alegre and Hospital Santa Casa de Porto Alegre, 90420121 Porto Alegre, RS, Brazil
2Pontifícia Universidade Católica (PUC), Porto Alegre, RS, Brazil

Received 9 May 2016; Accepted 18 July 2016

Academic Editor: Gaetano La Greca

Copyright © 2016 Uirá Fernandes Teixeira et al. 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.

Abstract

Portal vein thrombosis is observed in up to 10% of liver transplant candidates, hindering execution of the procedure. A dilated gastric vein is an alternative to portal vein reconstruction and decompression of splanchnic bed. We present two cases of patients with portal cavernoma and dilated left gastric vein draining splanchnic bed who underwent liver transplantation. The vein was dissected and sectioned near the cardia; the proximal segment was ligated with suture and the distal segment was anastomosed to the donor portal vein. Gastroportal anastomosis is an excellent option for portal reconstruction in the presence of thrombosis or hypoplasia. It allows an adequate splanchnic drainage and direction of hepatotrophic factors to the graft.