%0 Journal Article
%T "S¨ªndrome peque o para su tama o", (small-for-size), como complicaci¨®n de un trasplante hep¨¢tico con donante vivo adulto relacionado Small-for-size syndrome. Report of one case
%A Andr¨¦s Yarur
%A Lorena Castro
%A Roberto Segovia
%A Juan Pablo Roblero
%J Revista m¨¦dica de Chile
%D 2009
%I Sociedad M¨¦dica de Santiago
%X Although the use of cadaveric split or living donor liver transplantation is a valid option for liver transplants, they have several complications, being the "small-for-size syndrome" one of the most frequent. This entity is mainly due to the incapacity that the graft has to meet the blood drainage demands. We report a 61 year-old patient with sub-acute liver failure, transplanted with a partial liver graft that developed hyperbilirubinemia, ascites and liver function deterioration. A meso-caval shunt was performed, after which the ascites resolved, serum bilirubin normalized and the synthetic function of the liver improved. After one month, a follow-up CT seen showed the absence of blood flow in the shunt, possible due to the reduction of the hyper-perfusion of the liver. The clinical and biochemical condition of the patient continued improving despite the lack of flow through the shunt.
%K Liver failure
%K Liver transplantation
%K Portasystemic shunt
%K surgical
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000700009