Liver retransplantation due to splenic artery steal syndrome in a patient with common hepatic artery arising from the superior mesenteric artery

Author Info

E. Mouloudi K. Karakasi N. Antoniadis A. Fouza Georgios Katsanos I. Goulis Ioannis Fouzas Maria Daoudaki V. Georgopoulou

Corresponding Author

Georgios Katsanos
Division of Organ Transplantation, Department of Surgery, Aristotle University Medical School, Hippokration Hospital, Thessaloniki, Greece

A B S T R A C T

Splenic artery steal syndrome, (SASS) is a controversial cause of hepatic artery (HA) hypoperfusion attributed either to a decreased HA flow due to deviation to the splenic artery or to HA vasoconstriction in response to the increased portal flow due to the hepatic arterial buffer response (HABR). Herein we report a case of SASS that showed an anatomic variant of a replaced common hepatic artery (CHA), originating exclusively from the superior mesenteric artery (SMA) that was treated successfully with splenic artery ligation These findings support, at least in this case, that the etiology of graft dysfunction is the increased portal flow rather than the deviation of the hepatic artery flow to the splenic artery.

Article Info

Article Type

Case Report

Publication history

Received: Tue 22, Jan 2019
Accepted: Sat 09, Feb 2019
Published: Thu 28, Feb 2019

Copyright

© 2023 Georgios Katsanos. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.01.006