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Case Reports
. 2018 May 2:3:23.
doi: 10.21037/tgh.2018.04.03. eCollection 2018.

Lateral cavo-caval shunt: an alternative veno-venous bypass in liver surgery

Michel Rayar  1   2   3 , Giovanni Battista Levi Sandri  1 , Marc Blondeau  1 , Mohamed Lakehal  1 , Véronique Desfourneaux  1 , Laurent Sulpice  1   2   3 , Bernard Meunier  1   3 , Karim Boudjema  1   2   3
Affiliations
Case Reports

Lateral cavo-caval shunt: an alternative veno-venous bypass in liver surgery

Michel Rayar et al. Transl Gastroenterol Hepatol. .

Abstract

When inferior vena cava (IVC) resection is mandatory during liver surgery, use of a veno-venous bypass (VVB) is usually required despite its specific related adverse events. We describe a safe and alternative technique which allows both derivation of the portal and the caval blood flow by performing a lateral cavo-caval shunt using a prosthetic graft.

Keywords: Hepatic surgery; cholangiocarcinoma; ex-vivo; liver transplantation (LT); major liver resection.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Unresectable cholangiocarcinoma infiltrating the hilar structures and the inferior vena cava. HA, hepatic artery; IVC, inferior vena cava; LHV, left hepatic vein; PV, portal vein; RHV, right hepatic vein; T, tumor.
Figure 2
Figure 2
Derivation of the caval and portal blood flow using a latero-lateral cavo-caval shunt associated with a temporary porto-caval shunt. CCS, cavo-caval shunt; IVC, inferior vena cava; L, liver; TPCS, temporary porto-caval shunt.
Figure 3
Figure 3
Latero-lateral cavo-caval shunt combined with temporary porto-caval shunt after native liver removal. CCS, cavo-caval shunt; IVC, inferior vena cava; TPCS, temporary porto-caval shunt.
See this image and copyright information in PMC

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