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  • Title: Infrahepatic terminolateral cavocavostomy: a case report.
    Author: Lima CX, Garcia SM, Lima MB.
    Journal: Transplant Proc; 2009 Jun; 41(5):1997-9. PubMed ID: 19545778.
    Abstract:
    Infrahepatic vena cavocavostomy has been reported to be a rescue therapy when venous outflow from a liver allograft is obstructed due to stenosis of a piggyback anastomosis. The authors have described herein two consecutive adult liver transplantations using this technique as the primary venous anastomosis. Using a caval clamp positioned above the retrohepatic portion, partial hemodynamic obstruction of caval flow was well tolerated, avoiding use of a venovenous bypass. Although additional studies regarding this technique are needed, we believe that an infrahepatic vena cavocavostomy should be considered to be an alternative technique in carefully selected cases.
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