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Correspondence
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Volume 345:1352-1353 November 1, 2001 Number 18
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Arterialization of the Portal Vein in a Patient with a Dearterialized Liver Graft and Massive Necrosis

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To the Editor: Hepatic-artery thrombosis early after liver transplantation is associated with a very high rate of graft loss and death.1 If urgent revascularization fails2 or if massive hepatic necrosis has already developed, prompt retransplantation is the only hope for the patient's survival.1 However, retransplantation is not always possible. We report on a patient whose dearterialized liver graft with massive necrosis was rescued by arterialization of the portal vein.

A 40-year-old man underwent liver transplantation for cirrhosis related to hepatitis B and C viruses in March 2001. Pneumonia and bacteremia with Klebsiella pneumoniae developed. Seven days after surgery, the patient . . . [Full Text of this Article]

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