Thrombotic occlusion can limit access to the hepatic veins
, requiring shunt creation via the hepatic stump or the intrahepatic IVC.
diffuse and multiple communications between peripheral portal and hepatic veins
in several segments.
We've measured lumen diameters of portal vein in it's broad segment, vena lienalis, hepatic veins
2-3 cm above the place of their confluence in the vena cava inferior.
Estimated hepatic blood flow calculated from systemic indocyanine green clearance correlates poorly with values obtained using hepatic vein
catheterisation and the Fick principle, because of the variability in dye extraction (6).
A vascular stapler for the hepatic veins
is particularly useful in larger children.
Notably, the thrombus slid out of the hepatic vein
without evidence of hepatic attachment or infiltration (Fig.
During the procedure, a catheter is inserted via the jugular vein past the right atrium and into the hepatic vein
There was a small right lobe mostly occupied by a white, multinodular tumor, extending to segment IV and the left hepatic vein
The recipient operation is similar to that of implantation of a cadaveric split left graft; the inferior vena cava (IVC) is preserved, the left hepatic vein
is anastomosed to the recipient IVC, and the left portal vein of the graft is anastomosed to the main portal vein in the recipient.
During the workup, it was noted that the patient had recurrent ascites with velocity changes on TIPS ultrasound consistent with a stenosis at the hepatic vein
end of the shunt.
The ability to easily and accurately reposition the balloon caudally after resection of the suprarenal thrombus should immediately reconstitute hepatic vein
Acute hepatic vein
thrombosis after liver transplantation in a child with biliary atresia and absent inferior vena cava.