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dc.contributor.author
Rubio, Juan S.  
dc.contributor.author
Rumbo, Carolina  
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Farinelli, Pablo A.  
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Aguirre, Nicolás  
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Ramisch, Diego A.  
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Paladini, Hugo  
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D´Angelo, Pablo  
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Barros Schelotto, Pablo  
dc.contributor.author
Gondolesi, Gabriel Eduardo  
dc.date.available
2019-10-31T15:43:34Z  
dc.date.issued
2018-03  
dc.identifier.citation
Rubio, Juan S.; Rumbo, Carolina; Farinelli, Pablo A.; Aguirre, Nicolás; Ramisch, Diego A.; et al.; Unusual spontaneous porto-systemic shunt: The importance of diagnosing non-anatomical porto-systemic shunts to improve portal flow in pediatric living–related liver transplantation. Case report; Wiley Blackwell Publishing, Inc; Pediatric Transplantation; 22; 2; 3-2018; 1-4  
dc.identifier.issn
1397-3142  
dc.identifier.uri
http://hdl.handle.net/11336/87736  
dc.description.abstract
Collateral circulation secondary to liver cirrhosis may cause the development of large PSSs that may steal flow from the main portal circulation. It is important to identify these shunts prior to, or during the transplant surgery because they might cause an insufficient portal flow to the implanted graft. There are few reports of “steal flow syndrome” cases in pediatrics, even in biliary atresia patients that may have portal hypoplasia as an associated malformation. We present a 12-month-old female who received an uneventful LDLT from her mother, and the GRWR was 4.8. During the early post-operative period, she became hemodynamically unstable, developed ascites, and altered LFT. The post-operative ultrasound identified reversed portal flow, finding a non-anatomical PSS. A 3D CT scan confirmed the presence of a mesocaval shunt through the territory of the right gonadal vein, draining into the right iliac vein, with no portal inflow into the liver. The patient was re-operated, and the shunt was ligated. An intraoperative Doppler ultrasound showed adequate portal inflow after the procedure; the patient evolved satisfactorily and was discharged home on day number 49. The aim was to report a case of post-operative steal syndrome in a pediatric recipient due to a mesocaval shunt not diagnosed during the pretransplant evaluation.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Wiley Blackwell Publishing, Inc  
dc.rights
info:eu-repo/semantics/openAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
LIVING DONOR LIVER TRANSPLANTATION  
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PORTAL THROMBOSIS  
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PORTO-SYSTEMIC SHUNT  
dc.subject.classification
Trasplantes  
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Medicina Clínica  
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CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Unusual spontaneous porto-systemic shunt: The importance of diagnosing non-anatomical porto-systemic shunts to improve portal flow in pediatric living–related liver transplantation. Case report  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2019-10-17T13:41:44Z  
dc.journal.volume
22  
dc.journal.number
2  
dc.journal.pagination
1-4  
dc.journal.pais
Reino Unido  
dc.journal.ciudad
Londres  
dc.description.fil
Fil: Rubio, Juan S.. Fundación Favaloro; Argentina  
dc.description.fil
Fil: Rumbo, Carolina. Fundación Favaloro; Argentina  
dc.description.fil
Fil: Farinelli, Pablo A.. Fundación Favaloro; Argentina  
dc.description.fil
Fil: Aguirre, Nicolás. Fundación Favaloro; Argentina  
dc.description.fil
Fil: Ramisch, Diego A.. Fundación Favaloro; Argentina  
dc.description.fil
Fil: Paladini, Hugo. Fundación Favaloro; Argentina  
dc.description.fil
Fil: D´Angelo, Pablo. Fundación Favaloro; Argentina  
dc.description.fil
Fil: Barros Schelotto, Pablo. Fundación Favaloro; Argentina  
dc.description.fil
Fil: Gondolesi, Gabriel Eduardo. Fundación Favaloro; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina  
dc.journal.title
Pediatric Transplantation  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1111/petr.13111  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/abs/10.1111/petr.13111