Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 28, 2015; 21(44): 12729-12734
Published online Nov 28, 2015. doi: 10.3748/wjg.v21.i44.12729
Published online Nov 28, 2015. doi: 10.3748/wjg.v21.i44.12729
Management of early hepatic artery occlusion after liver transplantation with failed rescue
Chih-Yang Hsiao, Cheng-Maw Ho, Yao-Ming Wu, Ming-Chih Ho, Rey-Heng Hu, Po-Huang Lee, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei 100, Taiwan
Author contributions: Hsiao CY, Ho CM and Hu RH contributed to data collection, interpretation of data, and drafted the manuscript; Ho MC and Hu RH contributed to study concept and design; Hsiao CY, Ho CM, Wu YM, Ho MC, Hu RH and Lee PH contributed to critical revision of the manuscript.
Conflict-of-interest statement: All authors declare no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ming-Chih Ho, MD, Attending Surgeon, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei 100, Taiwan. mcho1215@ntu.edu.tw
Telephone: +886-2-23123456 Fax: +886-2-23934358
Received: May 20, 2015
Peer-review started: May 22, 2015
First decision: June 2, 2015
Revised: June 23, 2015
Accepted: August 30, 2015
Article in press: August 31, 2015
Published online: November 28, 2015
Peer-review started: May 22, 2015
First decision: June 2, 2015
Revised: June 23, 2015
Accepted: August 30, 2015
Article in press: August 31, 2015
Published online: November 28, 2015
Core Tip
Core tip: We present 3 cases of early hepatic artery thrombosis after living donor liver transplantation, in which surgical or endovascular attempts at arterial re-vascularization failed. Unexpectedly, these 3 patients survived with acceptable graft function after 32 mo, 11 mo, and 4 mo follow-up, respectively. The literatures on factors affecting this devastating complication were reviewed from an anatomical perspective. Our three cases raise the possibility that a modified nonsurgical management strategy may be sufficient for recovery from early hepatic artery thrombosis after liver transplantation with failed revascularization procedures.