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The use of autologous rectus facia sheath for replacement of inferior caval vein defect in orthotopic liver transplantation

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Occasionally, during liver transplantation, vascular reconstructions have to be performed. Donor vessels can be harvested for this purpose. However, when these are lacking, alternatives should be available. A possible alternative can be the use of autologous rectus fascia sheath, folded as a tube with the mesothelium on the inside. Earlier experimental studies from our centre showed the successful use of the rectus fascia sheath graft in vascular defects in animal experiments. This report describes the first use of this autologous tubular graft for replacement of the inferior caval vein interponate during liver transplantation in men .

Keywords: Budd–Chiari syndrome; mesothelium; vascular graft

Document Type: Research Article


Affiliations: 1: Semmelweis University, Transplantation and Surgical Clinic, Budapest, Hungary 2: Szent István University, Faculty of Veterinary Science, Department of Surgery and Ophthalmology, Budapest, Hungary 3: Groningen University Medical Center, Division of Hepatobiliary Surgery and Liver Transplantation, Groningen, The Netherlands

Publication date: December 1, 2005

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