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LIVER TRANSPLANT IN A PATIENT WITH INFRAHEPATIC INTERRUPTION OF THE INFERIOR VENA CAVA: A CASE REPORT

Mallika Datta, Yuzuru Sambommatsu, Jill Bruno, Vinay Kumaran, Daisuke Imai, Seung Duk Lee, Aamir A. Khan, Amit Sharma, Adrian H. Cotterell

Experimental and Clinical Transplantation - 2025;23(12):830-832

Department of Surgery, Division of Transplant Surgery, Hume-Lee Transplant Center, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA

 

Although infrahepatic inferior vena cava interruption has been reported in patients undergoing liver transplant, details on perioperative management are scarce. Here, we present a patient with a congenital inferior vena cava anomaly, characterized by infra-hepatic interruption of the inferior vena cava accompanied by azygos continuation, who underwent orthotopic liver transplant. Patients with anomalies of the inferior vena cava require important considerations during preoperative, intraoperative, and postoperative phases of liver transplant. These considerations, which led to our patient having a good outcome that continued 2 years after transplant, are detailed in this report.