Evaluation of hepatic perfusion in the liver graft using fluorescence imaging with indocyanine green.

ABSTRACT:

Introduction

Portal vein thrombosis (PVT) after liver transplantation (LT) is one of serious complications and reportedly ranges from 2% to 13%. PVT impairs the blood perfusion to the grafts and causes the graft dysfunction.

Presentation of case

A 60-year-old female underwent living-donor LT with the left liver graft for end-stage liver disease related to chronic hepatitis C. After reperfusion, Indocyanine green (ICG)-fluorescence imaging was performed to confirm the graft perfusion, which pointed out an insufficient perfusion on the surface of segment 4. Following intraoperative ultrasonography revealed thrombus in the portal vein of segment 4, which was successfully removed by heparinized saline flush.

Discussion

The most of patients with PVT developed graft failure

SUBMITTER: Kawaguchi Y 

PROVIDER: S-EPMC4573850 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature