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Acute postoperative liver failure caused by thrombosis of the celiac trunk — case report
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Abstract
extensive vascular procedures involving abdominal aorta. We report a case of acute liver failure that occurred
one day after replacement of an infected bifurcated aortobifemoral graft. Liver failure occurred in a patient
with generalized atherosclerosis, with extensive lesions in splanchnic arteries, with massive infection focus,
who experienced episodes of intraoperative drop of arterial blood pressure. Normal liver function was restored
after re-operation performed in the urgent setting when hepatic circulation was restored. Analysis of clotting
tests performed shortly after the first operation and then laboratory tests and imaging studies assessing liver
function were the basis for the diagnosis.
Abstract
extensive vascular procedures involving abdominal aorta. We report a case of acute liver failure that occurred
one day after replacement of an infected bifurcated aortobifemoral graft. Liver failure occurred in a patient
with generalized atherosclerosis, with extensive lesions in splanchnic arteries, with massive infection focus,
who experienced episodes of intraoperative drop of arterial blood pressure. Normal liver function was restored
after re-operation performed in the urgent setting when hepatic circulation was restored. Analysis of clotting
tests performed shortly after the first operation and then laboratory tests and imaging studies assessing liver
function were the basis for the diagnosis.
Keywords
infection of vascular graft; liver failure; arterial thrombosis; recombined factor VIIa
About this articleTitle
Acute postoperative liver failure caused by thrombosis of the celiac trunk — case report
Journal
Issue
Article type
Case report
Pages
177-182
Published online
2013-01-01
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786
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2207
Bibliographic record
Acta Angiologica 2012;18(4):177-182.
Keywords
infection of vascular graft
liver failure
arterial thrombosis
recombined factor VIIa
Authors
Krzysztof Madej
Magdalena Jeleńska
Łukasz Romanowski