Abstract
Portal vein thrombosis was historically considered a contraindication for liver transplantation.
However, recent technical advancements have enabled surgeons to manage this complication
through various innovative approaches. One such technique is portocaval hemitransposition,
particularly applicable in cases of extensive porto-splanchnic thrombosis. This procedure
involves utilizing the recipient's inferior vena cava to perfuse the portal vein of
the liver graft. We report a case of acute thrombosis of a portocaval hemitransposition
graft that was successfully managed with catheter-directed thrombolysis, angioplasty,
and stent placement.
Keywords
portocaval hemitransposition - portal vein thrombosis - liver transplantation
