Because of various anatomic variations of hepatic artery which affects the surgical approach and future outcomes, it is necessary to get the complete donor and recipient liver vasculature mapping to get surgical guidance and to avoid bleeding, hepatic artery thrombosis, ischaemic cholangiopathy
and other post-transplant complications.3 In the era of LDLT, paying particular attention to the point of origin of segment IV artery is a prerequisite, especially when the lateral section is relatively small.
and extra-hepatic portal vein obstruction (EHPVO) with no shuntable veins.
The complications of PVT (gastrointestinal bleeding, including variceal, intestinal infarction and development of portal hypertension, portal cholangiopathy
, and subsequent hepatic decompensation) can be quite serious .
These insults are exaggerated in marginal livers, increasing risk of initial poor function (IPF), primary nonfunction (PNF), and biliary complications including ischemic cholangiopathy
(IC) in comparison to standard criteria donors [11-13].
Dhiman, "Endoscopic management of portal cavernoma cholangiopathy
: practice, principles and strategy," Journal of Clinical and Experimental Hepatology, vol.
Biliary atresia is a neonatal disease of unknown etiology characterized by progressive, inflammatory, and fibrosclerosing cholangiopathy
resulting in obstruction of both extrahepatic and intrahepatic bile ducts.
Of note, hepatic artery stenosis resulted in ischemic-like cholangiopathy
and prolonged cholestasis.
Acquired immune deficiency syndrome (AIDS) cholangiopathy
is a biliary obstruction secondary to biliary tract strictures caused by various opportunistic infections .
Facchetti et al., "Cholangiopathy
and tumors of the pancreas, liver, and biliary tree in boys with X-linked immunodeficiency with hyper-IgM," Journal of Immunology, vol.
There were no complications of visceral vasculopathy, HIV-related cholangiopathy
It is an obliterative cholangiopathy
observed only in children and caused by progressive inflammation and fibrosis of the bile duct.
In 2008, the patient's transplanted liver failed because of ischemic cholangiopathy
, and she underwent a second liver transplant.