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DISSECTION OF THE HEPATIC ARTERY: A RARE CAUSE OF LATE ISCHEMIA AFTER LIVER TRANSPLANT

LUİZ EDUARDO MİRANDA, LAÉCİO LEİTÃO, NORMA JUCÁ, CLÁUDİO MOURA LACERDA

Experimental and Clinical Transplantation - 2020;18(5):641-644

From the Division of General Surgery and Liver Transplantation, Hospital Oswaldo Cruz, Pernambuco University, Recife, Pernambuco, Brazil

 

Hepatic artery dissection is an infrequent vascular complication that can arise after orthotopic liver transplant. Most patients with this complication are diagnosed during the intraoperative period or the first days after liver transplant, with an association shown with living-donor liver transplant. In this study, we discuss a rare case of an extrahepatic artery dissection that was successfully managed through surgical excision and arterial revascularization that was diagnosed 4 years after orthotopic liver transplant. Furthermore, we hypothesize on the potential causes of its occurrence.