Article Abstract

Lateral cavo-caval shunt: an alternative veno-venous bypass in liver surgery

Authors: Michel Rayar, Giovanni Battista Levi Sandri, Marc Blondeau, Mohamed Lakehal, Véronique Desfourneaux, Laurent Sulpice, Bernard Meunier, Karim Boudjema

Abstract

When inferior vena cava (IVC) resection is mandatory during liver surgery, use of a veno-venous bypass (VVB) is usually required despite its specific related adverse events. We describe a safe and alternative technique which allows both derivation of the portal and the caval blood flow by performing a lateral cavo-caval shunt using a prosthetic graft.