Transformation of cavoportal inflow to renoportal inflow to the graft during liver transplantation for stage IV portal vein thrombosis.

Abstract

A 51-year-old male underwent liver transplantation for end-stage liver disease. A pretransplant scan demonstrated a Yerdel grade IV portal vein thrombus with spontaneous mesentericocaval shunt insertion below the junction of the inferior vena cava (IVC) and the left renal vein (Fig. 1). The caval inflow technique was modified to transform an indication for a cavoportal anastomosis (CPA) into the equivalent of a renoportal anastomosis (RPA).