Revista médica de Chile
versión impresa ISSN 0034-9887
YARUR, Andrés et al. Small-for-size syndrome. Report of one case. Rev. méd. Chile [online]. 2009, vol.137, n.7, pp. 918-922. ISSN 0034-9887. http://dx.doi.org/10.4067/S0034-98872009000700009.
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.
Palabras llave : Liver failure; Liver transplantation; Portasystemic shunt, surgical.