Article (Scientific journals)
Image in transplantation surgery: median arcuate ligament in liver transplantation
VANDERMEULEN, Morgan; MOISE, Martin; MEURISSE, Nicolas et al.
2020In Acta Chirurgica Belgica, 120, p. 217-219
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Keywords :
Liver transplantation; anatomy; complication; radiology; surgery; organ transplantation
Abstract :
[en] Low inserted median arcuate ligament may cause extrinsic coeliac trunk compression and median arcuate ligament syndrome (association of post-prandial epigastric pain, weight loss and nausea or vomiting). In liver transplantation, liver graft arterial supply depends on the recipient's hepatic artery, as the gastro-duodenal artery has generally been ligated. A decreased graft arterial flow caused by coeliac trunk stenosis might induce hepatic artery thrombosis leading to graft loss. In this short report the authors describe a liver transplant procedure during which recipient's hepatic artery pressure was dramatically decreased after ligature of the gastro-duodenal artery. Dissection and division of the median arcuate ligament allowed to restore an excellent blood flow through the hepatic artery. This report reminds how important it is to be able to recognize and how to manage a stenosing median arcuate ligament in liver transplantation.
Disciplines :
Surgery
Author, co-author :
VANDERMEULEN, Morgan ;  Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Chirurgie abdo, sénologique, endocrine et de transplantation
MOISE, Martin ;  Centre Hospitalier Universitaire de Liège - CHU > Département de Physique Médicale > Service médical de radiodiagnostic
MEURISSE, Nicolas ;  Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Chirurgie abdo, sénologique, endocrine et de transplantation
Honoré, Pierre ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgicale abdominale
Meurisse, Michel ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Meunier, Paul ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Detry, Olivier  ;  Université de Liège - ULiège > Département des sciences cliniques > Pathologie chirurgicale abdominale et endocrinienne
Language :
English
Title :
Image in transplantation surgery: median arcuate ligament in liver transplantation
Publication date :
June 2020
Journal title :
Acta Chirurgica Belgica
ISSN :
0001-5458
Publisher :
Taylor & Francis, United Kingdom
Volume :
120
Pages :
217-219
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 09 November 2019

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