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15 December 2021: Case Report

Rex Shunt for Portal Vein Thrombosis After Pediatric Living Donor Liver Transplantation

Yuji Soejima 1ABDE* , Tomoaki Taguchi 2DE , Toshiharu Matsuura 2D , Makoto Hayashida 2D , Toru Ikegami 1BD , Tomoharu Yoshizumi 1BD , Yoshihiko Maehara 1D

DOI: 10.12659/AOT.909493

Ann Transplant 2021; 26:e909493

Figure 3 (A) Angiographic findings of portal vein thrombosis of Case 3. Note that the portal vein trunk is completely thrombosed (arrowheads) and a large collateral vein (*) with marked cavernous transformation (**) has formed. (B) Intraoperative view of the Rex shunt created between the SMV and the UP using the donor’s external iliac vein. Note the shunt graft is tunneled through the prepancreatic retropyloric route. (C, D) A computed tomography scan taken at 3.3 years after the procedure shows a patent Rex shunt graft (C) and the UP of the graft (D). EIV – external iliac vein; UP – umbilical portion of the portal vein.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358