{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:44:42Z","timestamp":1768437882510,"version":"3.49.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,11,14]],"date-time":"2016-11-14T00:00:00Z","timestamp":1479081600000},"content-version":"vor","delay-in-days":318,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INSTRUCTION:<\/jats:title>\n                    <jats:p>Inferior vena cava (IVC) thrombosis can be a life-threatening complication after liver transplantation (LT). Although this complication is usually related to technical problems associated with vascular anastomosis, we report a case of IVC thrombosis which developed from a ligated large mesenteric-caval shunt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>A 35-year-old man underwent LT from a brain-dead donor for primary sclerosing cholangitis. Enhanced computed tomography (CT) before LT showed a huge collateral vessel of the inferior mesenteric vein (IMV) draining into the infra-renal IVC directly. To obtain sufficient portal vein (PV) flow, the dilated IMV collateral was ligated. A routine Doppler ultrasound study on post-operative day 1 showed thrombus inside the infra-hepatic IVC. Enhanced CT showed that this thrombus originated from a ligated collateral vessel of the IMV and extended into the IVC. He was hemodynamically stable and liver function was consistently stable. The size of IVC thrombus slowly reduced and he is currently in good condition without any symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>To obtain adequate PV flow, ligation of a major PSS at the time of LT has been suggested. However, where it should be occluded has not been discussed. We should occlude a mesenteric-caval shunt not only at the upper side, but at the IVC side, based on findings from the current case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>To obtain appropriate PV flow toward a liver graft, occlusion of portosystemic shunts during LT is recommended. However, the position of ligation should be carefully considered to avoid extension of thrombus to major vessels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2016.11.012","type":"journal-article","created":{"date-parts":[[2016,11,15]],"date-time":"2016-11-15T19:12:50Z","timestamp":1479237170000},"page":"211-214","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Development of extensive inferior vena cava thrombosis due to the ligation of a large mesenteric-caval shunt during liver transplantation"],"prefix":"10.1097","volume":"29","author":[{"given":"Hideya","family":"Kamei","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuharu","family":"Onishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Ishigami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoji","family":"Ishizu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kojiro","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Ogura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-54-20260114","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/j.1432-2277.1992.tb01715.x","article-title":"The role of spontaneous portosystemic shunts in the course of orthotopic liver transplantation","volume":"5","author":"De Carlis","year":"1992","journal-title":"Transpl. Int"},{"key":"R2-54-20260114","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1097\/TP.0b013e318288cadc","article-title":"Obstructing spontaneous major shunt vessels is mandatory to keep adequate portal inflow in living-donor liver transplantation","volume":"95","author":"Ikegami","year":"2013","journal-title":"Transplantation"},{"key":"R3-54-20260114","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/j.1432-2277.2006.00392.x","article-title":"Ligation of left renal vein for large spontaneous splenorenal shunt to prevent portal flow steal in adult living donor liver transplantation","volume":"20","author":"Lee","year":"2007","journal-title":"Transpl. Int"},{"key":"R4-54-20260114","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1002\/bjs.1800790631","article-title":"Successful treatment of complete inferior vena cava thrombosis after liver transplantation by thrombolytic therapy","volume":"79","author":"Kraus","year":"1992","journal-title":"Br. J. Surg"},{"key":"R5-54-20260114","doi-asserted-by":"crossref","first-page":"167","DOI":"10.2214\/ajr.157.1.1828649","article-title":"Stenoses of vascular anastomoses after hepatic transplantation: treatment with balloon angioplasty","volume":"157","author":"Raby","year":"1991","journal-title":"AJR Am. J. Roentgenol"},{"key":"R6-54-20260114","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1007\/s00261-011-9811-0","article-title":"Portosystemic collateral vessels in liver cirrhosis: a three-dimensional MDCT pictorial review","volume":"37","author":"Moubarak","year":"2012","journal-title":"Abdom. 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