Transplantation in the Twenty-First CenturyLiver transplantationThree Case Reports of Splenic Artery Steal Syndrome After Liver Transplantation
Section snippets
Patient 1
A 54-year-old man with hepatitis B cirrhosis that progressed to end-stage liver failure had a successful orthotopic liver transplantation. The laboratory values obtained on postoperative day (POD) 1 were as follows: alanine aminotransferase (ALT), 49.8 U/L (reference range, 7–40 U/L); aspartate aminotransferase (AST), 78.7 U/L (13.0–35 U/L); and and total bilirubin (T-Bil), 34.7 μmol/L (0–17.1 μmol/L). On POD 2, the following values were obtained: ALT, 194.5 U/L; AST, 213.2 U/L; and T-Bil,
Discussion
Liver transplantation has become a routine procedure in all types of end-stage liver diseases, and the complications are increasingly appreciated. Some of the most common potential complications are vascular and biliary, allograft rejection, and post-transplantation neoplasms. SASS is one of the vascular complications after liver transplantation and is caused by liver ischemia in addition to hepatic artery thrombosis and stenosis. The incidence been reported is ∼3.1%–5.9% of liver
References (14)
- et al.
Diagnosis and treatment of arterial steal syndromes in liver transplant recipients
Liver Transpl
(2003) - et al.
Splenic artery steal syndrome in living donor liver transplantation: a case report
Transplant Proc
(2007) - et al.
Splenic artery steal syndrome after liver transplantation: an alternative technique of embolization
Transplant Proc
(2009) - et al.
Doppler US for suspicion of hepatic arterial ischemia in orthotopically transplanted livers: role of central versus intrahepatic waveform analysis
Radiology
(2013) - et al.
Splenohepatic arterial steal syndrome in liver transplantation: clinical features and management
Transpl Int
(2002) - et al.
Arterial steal: an unusual cause for hepatic hypoperfusion after liver transplantation
Transpl Int
(1991) - et al.
Transcatheter splenic artery occlusion for treatment of splenic artery steal syndrome after orthotopic liver transplantation
Cardiovasc Intervent Radiol
(2002)
Cited by (3)
Comments and illustrations of the WFUMB CEUS liver guidelines: Rare vascular pathology, part II
2023, Medical UltrasonographySplenic artery steal syndrome after liver transplantation – prophylaxis or treatment?: A case report and literature review
2022, Annals of Hepato-Biliary-Pancreatic Surgery