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Liver transplantation in patients with patent splenorenal shunts

Esquivel, CO and Klintmalm, G and Iwatsuki, S and Makowka, L and Gordon, RD and Tzakis, A and Starzl, TE (1987) Liver transplantation in patients with patent splenorenal shunts. Surgery, 101 (4). 430 - 432. ISSN 0039-6060

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Abstract

Patent distal splenorenal shunts (Warren shunt) have been reported to cause decreases in the portal perfusion pressure and the total hepatic blood flow. Such hemodynamic alterations could have adverse effects on the transplanted liver. The experience with hepatic replacement in four patients with patent Warren shunts is reported. Operative findings were phlebosclerotic portal veins of small size and diminished portal blood flows. Hepatofugal collateral channels created by the construction of the Warren shunt should not be a contraindication for hepatic transplantation.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Esquivel, CO
Klintmalm, G
Iwatsuki, S
Makowka, L
Gordon, RD
Tzakis, A
Starzl, TEtes11@pitt.eduTES11
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 3 June 1987
Date Type: Publication
Journal or Publication Title: Surgery
Volume: 101
Number: 4
Page Range: 430 - 432
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0039-6060
Other ID: uls-drl:31735062119080, Starzl CV No. 714
Date Deposited: 08 Apr 2010 17:12
Last Modified: 02 Feb 2019 13:55
URI: http://d-scholarship.pitt.edu/id/eprint/4100

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