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  • Title: Urgent living-related liver transplantation using a graft with multiple intrahepatic arterioportal fistulae.
    Author: Hashikura Y, Kawasaki S, Miyagawa S, Matsunami H, Terada M, Ikegami T, Nakazawa Y, Chisuwa H, Kubota T, Makuuchi M.
    Journal: Transplantation; 1997 Oct 15; 64(7):1076-8. PubMed ID: 9381533.
    Abstract:
    BACKGROUND: We describe the case of a man with intrahepatic arterioportal fistulae located in the left lobe, whose left lateral segment was transplanted into his son who was suffering from severe acute hepatitis B. METHODS: A male infant with severe acute hepatitis B was considered to be a candidate for liver transplantation. The father was willing to be the donor. Preoperative evaluation of the donor revealed intrahepatic arterioportal fistulae, however, duplex ultrasonography showed normograde portal blood flow. A living-related liver transplantation was performed. RESULTS: The postoperative course for both the donor and recipient was uneventful. The recipient is free of recurrent hepatitis B and has normograde portal blood flow. CONCLUSIONS: The present case suggests that there may be a symptomless population with intrahepatic arterioportal fistulae, which cause various degrees of disruption of the portal blood flow. Duplex ultrasonography might be helpful in the evaluation of candidates for liver donation.
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