布加综合征的肝移植

报告一例曾接受过脾肺固定术的布加综合征病例，因终末期肝硬化，下腔静脉阻塞而行原位肝移植术。术野局部粘连严重，侧支丰富，特别是第二肝门解剖困难，采用右房肝上下腔静脉吻合术，重建下腔静脉通道。行髂总静脉、门静脉至右房插管转流，使用ＷＭＯ液保存供肝５小时４５分。完成手术肝血液循环良好，当天即有胆汁排出。术后第１３天死于肝排斥反应脏肝动脉栓塞，肝、肾功能衰竭 。

Liver transplantation for Budd-chiari syndrome

One case of Budd-chiari syndrome with end-stage cirrhosis,who received plenop-neumopexy 4 years ago,underwent an orthotopic liver transplantation.The donor liver was pre-served with WMO solution for 5 h and 45 min.Because of the second hepatic portal difficaIt to bedissected,local adhesion and overgrowth of collateral branch,the venovenous bypass was appliedduring operation.The inferior vena cava and the right atrium weree anastomosed tO establish apassage of the inferior vena cava.The patient died of liver rejection,embolism of the liver artervand renal failure and liver failure at th postoperative day 13.