TY - JOUR
AR - SCR-2019-1-106
TI - Liver retransplantation due to splenic artery steal syndrome in a patient with common hepatic artery arising from the superior mesenteric artery
AU - E., Mouloudi
AU -  K. , Karakasi
AU -  N. , Antoniadis
AU - A., Fouza
AU - Georgios , Katsanos
AU - I. , Goulis
AU - Ioannis , Fouzas
AU - Maria , Daoudaki
AU - V. , Georgopoulou
JO - Surgical Case Reports
PY - 2019
DA - Thu 28, Feb 2019
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2019.01.006
UR - https://www.sciencerepository.org/liver-retransplantation-due-to-splenic-artery-steal-syndrome-in-a-patient-with-common-hepatic-artery-arising-from-the-superior-mesenteric-artery_SR-SCR-2019-1-106 
KW - Liver retransplantation, common hepatic artery, superior mesenteric artery
AB - 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.