Abstract:
We have previously reported our experience in inferior vena cava resection and reconstruction
techniques during liver transplantation for Budd-Chiari syndrome. Herein, we present on a case
that demonstrates the importance of experience in complex vascular reconstruction techniques
for living donor liver transplantation. A 15-year-old boy was scheduled for living donor liver
transplantation for Budd-Chiari syndrome. Venous occlusion was extended up to the right atrial
orifice of the supra-hepatic vena cava. Retro- and supra-hepatic segments of the vena cava
was resected. Inferior vena cava graft stored in deep-freeze was available. Venous reconstruction
was performed with end-to-end atrio-caval anastomosis. Surgical treatment was completed
with the implantation of the right liver lobe donated by the patient’s mother. Post-surgical
course was uneventful.