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  • Title: Complex hepatic outflow reconstruction in domino liver transplantation.
    Author: Pinheiro RS, Lai Q, Dahrenmoller C, Lerut J.
    Journal: Hepatobiliary Pancreat Dis Int; 2014 Feb; 13(1):98-100. PubMed ID: 24463087.
    Abstract:
    Domino liver transplantation has been accepted as a safe procedure to further expand the organ donor pool. The most important technical challenge of the procedure resides in restoring a proper hepatic venous allograft outflow in the familial amyloidotic polyneuropathy-liver recipient. To overcome this issue, combined techniques were used to perform an innovative outflow reconstruction. A domino liver transplantation was successfully performed with reconstruction of complex venous outflow. The inferior vena cava sparing hepatectomy technique in the familial amyloidotic polyneuropathy-donor was used to cut the hepatic vein to the liver parenchyma. To overcome this issue the venous outflow tract was reconstructed using a longitudinally opened iliac vein graft from a post-mortem donor to create a new outflow tract using a diamond patch between the right and middle/left hepatic veins.
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