{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:08:40Z","timestamp":1753888120507,"version":"3.41.2"},"reference-count":14,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T00:00:00Z","timestamp":1626825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004040","name":"KU Leuven","doi-asserted-by":"publisher","award":["C32\/18\/035"],"award-info":[{"award-number":["C32\/18\/035"]}],"id":[{"id":"10.13039\/501100004040","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Diffuse splanchnic thrombosis may render standard LTx difficult or even technically impossible. A 19\u2010year\u2010old woman with acute\u2010on\u2010chronic Budd\u2010Chiari syndrome and complete splanchnic thrombosis underwent conventional LTx. Only limited anatomical portal inflow could be restored, and urgent re\u2010transplantation for recurrent splanchnic vein thrombosis became necessary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>At re\u2010transplant, and in addition to the reestablishment of some portal inflow through the preserved original porto (native)\u2010portal (graft) connection, a cavoportal shunt was created (first partial via 30% tapering of the vena cava, but eventually complete by total occlusion of the vena cava).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The postoperative course was then uneventful, and interestingly, the native portomesenteric axis gradually reopened. Two years post\u2010transplant, the liver graft is perfused via both physiological and non\u2010physiological sources. Liver function is normal. There is no IVC syndrome and no residual PHT. She is leading a normal life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Creation of CPHT, in addition to the preservation of portal inflow from the native splanchnic system, should be considered in patients with diffuse splanchnic thrombosis, when sufficient physiological portal inflow cannot be restored at the time of LTx, but in whom the splanchnic circulation may reopen up later.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14097","type":"journal-article","created":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T19:26:45Z","timestamp":1626895605000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Recanalization of portal axis after cavoportal hemitransposition in a liver transplant recipient with complete splanchnic thrombosis"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2875-9516","authenticated-orcid":false,"given":"Mathias","family":"Clarysse","sequence":"first","affiliation":[{"name":"Department of Abdominal Transplant Surgery and Transplant Coordination University Hospitals Leuven Leuven Belgium"},{"name":"Laboratory of Abdominal Transplantation Department of Microbiology, Immunology and Transplantation KU Leuven Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4176-3608","authenticated-orcid":false,"given":"Alexander","family":"Wilmer","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Unit Department of General Internal Medicine University Hospitals Leuven Leuven Belgium"},{"name":"Laboratory for Clinical Infectious and Inflammatory Disorders Department of Microbiology, Immunology and Transplantation KU Leuven Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1784-8297","authenticated-orcid":false,"given":"Yves","family":"Debaveye","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine University Hospitals Leuven Leuven Belgium"},{"name":"Laboratory of Intensive Care Medicine Department of Cellular and Molecular Medicine KU Leuven Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0842-7813","authenticated-orcid":false,"given":"Wim","family":"Laleman","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University Hospitals Leuven Leuven Belgium"},{"name":"Laboratory of Hepatology Department of Chronic Diseases and Metabolism (CHROMETA) KU Leuven Leuven 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