Portal Steal Syndrome After Full-Size Deceased Donor Liver Transplantation.


Journal Article

Successful liver transplantation typically results in an immediate decrease in intrahepatic resistance accompanied by an initial increased hepatopedal portal flow. Within a short period of time, the portal hypertension resolves and the variceal shunts involute. However, in situations in which intrahepatic vascular resistance to venous flow remains elevated, significant hepatofugal portal flow may continue through persistent mesenteric shunts. This situation, portal steal, can result in decreased perfusion of the liver graft leading to graft dysfunction, failure, and potentially recipient death. This report details a case and the surrounding literature to highlight appropriate diagnosis and management in these patients.

Full Text

Duke Authors

Cited Authors

  • Dua, A; McElroy, L; Wochinski, A; Hong, JC; Cronin, DC

Published Date

  • June 2016

Published In

Volume / Issue

  • 115 / 3

Start / End Page

  • 147 - 150

PubMed ID

  • 27443092

Pubmed Central ID

  • 27443092

International Standard Serial Number (ISSN)

  • 1098-1861


  • eng

Conference Location

  • United States