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作 者:Noel Cassar Stephen Gregory Krishna Menon
机构地区:[1]Institute of Liver Studies,King’s Healthcare Partners,Denmark Hill Site,London SE59RS,UK
出 处:《Hepatobiliary & Pancreatic Diseases International》2020年第4期394-395,共2页国际肝胆胰疾病杂志(英文版)
摘 要:Satisfactory blood flow after hepatic arterial anastomosis in liver transplantation is a critical point of the operation.Problems with this anastomosis can result in hepatic artery thrombosis with resultant graft failure and patient morbidity and mortality.Causes of hepatic artery thrombosis include problematic technique,hepatic artery dissection,external compression(e.g.from hematoma),hypercoagulable state,splenic arterial steal and rarer causes such as median arcuate ligament compression(MALC).A careful review of preoperative radiology and imaging will reveal these rare instances and enable a proper intraoperative plan.
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