Aydoğan, Mustafa Said İnönü University - School of Medicine - Department of Anesthesiology and Reanimation, Turkey , Kayaalp, Cüneyt İnönü University - School of Medicine - Department of General Surgery and Liver Transplantation, Turkey , Bıçakcıoğlu, Murat İnönü University - School of Medicine - Department of Anesthesiology and Reanimation, Turkey , Çolak, Yusuf Ziya İnönü University - School of Medicine - Department of Anesthesiology and Reanimation, Turkey , Durmuş, Mahmut İnönü University - School of Medicine - Department of Anesthesiology and Reanimation, Turkey

Management of Budd Chiari Syndrome by liver transplantation: A case report

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Budd-Chiari syndrome (obstruction of venous drainage of the liver) may be idiopathic, due to thrombosis of the hepatic veins in thrombogenic states or be due to extrinsic compression. It is rare, but life-threatening, if left untreated. For patients with end-stage liver disease, liver transplantation should be considered. Orthotopic liver transplantation (OLT) is associated with the potential for massive blood loss, necessitating rapid infusion of large quantities of blood products. In these patients, hemodynamic instability can be dramatically diminished by inferior vena cava cross-clamping during OLT. There are few reports about living donor transplantations in Budd-Chiari case. We present a case of 27-year-old man, with a diagnosis of end-stage liver disease secondary to Budd-Chiari syndrome and underwent living OLT. Anaesthesia management, and follow-up of patients affected by this condition represent a challenge for anesthesiologists. The aim of this report is to discuss the potential options in the intraoperative management of patients with Budd-Chiari syndrome, who will undergo living OLT.

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Budd , Chiari syndrome , orthotopic liver transplantation , anaesthesia management

Cumhuriyet Medical Journal

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