@article{Mamedov2013,
abstract = {Background: Retransplantations are difficult procedures and have higher morbidities and mortalities due to dense adhesions. Some fascilitating maneuvers of retransplantations are challenging and here we described one of them. Methods/materials: A 27-year old man with chronic artery thrombosis after three months ago deceased liver transplantation was admitted for retransplantation. A related living right lob liver transplantation was planned. During recipient hepatectomy, hepatic hilum was transected first but retroperitoneal dissection and identification of the original vena cava were very difficult. Prolonged operative time and blood loss caused intestinal congestion and a temporary porto-caval shunt required. For porto-caval shunt, we used the recipient portal vein and the lower pole of the piggy-back vena cava. It was performed without clamping the original vena cava so caval blood from the first cava went on. The liver was removed by preserving bot vena cavas (Figure 1). Living donor graft was implanted to the piggyback vena cava as well. The temporary shunt was divided and portal vein was anastomosed to the graft portal vein. Arterial anastomosis was performed with recipients gastroepiploic artery and the biliary reconstruction was fashioned by Roux-en-Y hepaticojejunostomy. Conclusion: As a conclusion, when a temporary porto-caval shunt required during retransplantation, piggyback cava can be used safely.},
author = {Mamedov, Ruslan and Unal, Bulent and Ara, Cengız and Aydın, Cemalettın and Yetisir, Fahri and Bayramov, Nuru and Kayaalp, Guneyt and Yilmaz, Sezai},
doi = {10.9734/BJMMR/2014/5694},
file = {:C\:/Users/nurub/Documents/NuruBay 2017/Məqalərər və tezislər/{\c{C}}ap olunmuş məqalələr/Mendeleydə olanlar/m-2013-temporary-portocaval-shunt.pdf:pdf},
issn = {22310614},
journal = {British Journal of Medicine and Medical Research},
keywords = {Mən məqalə,Qc Tx,liver transplantation,porto-caval shunt,porto-kaval şunt,re-transplantation,surgical technique},
mendeley-tags = {Mən məqalə,Qc Tx,porto-kaval şunt},
month = {oct},
number = {3},
title = {{Temporary Portocaval Shunt by Piggyback Cava in Liver Re-Transplantation: Report of a Case}},
url = {https://journaljammr.com/index.php/JAMMR/article/view/1844 https://www.researchgate.net/publication/366158222_Temporary_Portocaval_Shunt_by_Piggyback_Cava_in_Liver_Re-Transplantation_Report_of_a_Case http://bck.az/elm-ve-tedqiqat/meqaleler/m-2013-temporary-portocaval-shunt},
volume = {4},
year = {2013}
}