{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:47:02Z","timestamp":1759538822174,"version":"build-2065373602"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Liver retransplantation is a technically demanding procedure, particularly in patients with complex surgical histories and vascular complications such as hepatic artery thrombosis (HAT). We report the case of a 25-year-old woman who underwent a third liver transplant for graft cirrhosis. The procedure was technically demanding due to multiple adhesions, porta hepatic fibrosis, portal hypertension, and hypoplastic vasculature. Arterial reconstruction used an end-to-side anastomosis between the donor\u2019s celiac trunk and the recipient\u2019s splenic artery. On postoperative day 3, she underwent acute HAT and needed an urgent retransplantation (fourth liver). A new arterial anastomosis was created between the origin of the splenic artery and a Carrel patch from the donor\u2019s celiac trunk. The patient made a full recovery. This case highlights the technical challenges of liver retransplantation and the importance of individualized vascular strategies.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf777","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:49:11Z","timestamp":1759517351000},"source":"Crossref","is-referenced-by-count":0,"title":["Emergency liver retransplantation for acute arterial thrombosis in a liver multi-transplanted patient: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1759-9907","authenticated-orcid":false,"given":"Priscila Begue","family":"Pons","sequence":"first","affiliation":[{"name":"Department of General Surgery, Hospital Italiano de Buenos Aires , Ciudad Aut\u00f3noma de Buenos Aires C1199ABB ,","place":["Argentina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sol","family":"Salgado","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital Italiano de Buenos Aires , Ciudad Aut\u00f3noma de Buenos Aires C1199ABB ,","place":["Argentina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Diego","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital Italiano de Buenos Aires , Ciudad Aut\u00f3noma de Buenos Aires C1199ABB ,","place":["Argentina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Pekolj","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital Italiano de Buenos Aires , Ciudad Aut\u00f3noma de Buenos Aires C1199ABB ,","place":["Argentina"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"2025100314490743800_ref4","doi-asserted-by":"publisher","first-page":"36","DOI":"10.4254\/wjh.v8.i1.36","article-title":"Vascular complications following liver transplantation: a literature review of advances in 2015","volume":"8","author":"Piardi","year":"2016","journal-title":"World J Hepatol"},{"key":"2025100314490743800_ref5","doi-asserted-by":"publisher","first-page":"4403","DOI":"10.1016\/j.transproceed.2010.07.014","article-title":"Early arterial revascularization after hepatic artery thrombosis may avoid graft loss and improve outcomes in adult liver transplantation","volume":"42","author":"Scarinci","year":"2010","journal-title":"Transplant Proc"},{"key":"2025100314490743800_ref6","first-page":"281","article-title":"Hepatic artery reconstruction for hepatic artery thrombosis after orthotopic liver transplantation","volume":"10","author":"Yanaga","year":"2021","journal-title":"Hepatobiliary Surg Nutr"},{"key":"2025100314490743800_ref7","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1097\/MOT.0000000000000697","article-title":"Hepatic artery reconstruction in living-donor liver transplantation","volume":"24","author":"Balci","year":"2019","journal-title":"Curr Opin Organ 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transplantation: experience with 3,000 cases","volume":"10","author":"Akbulut","year":"2021","journal-title":"Hepatobiliary Surg Nutr"}],"container-title":["Journal of Surgical Case 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