Meso-Rex Shunt Using Deep Femoral Vein Conduit: First Report

Abstract

The Meso-Rex shunt (MRS) procedure was first described in 1992 by de Ville et al. for the treatment of extra-hepatic portal vein obstruction (EHPVO) in paediatric liver transplant patients (1). This technique provides more physiological relief of portal hypertension compared to the porto-systemic shunts, which can lead to long-term complications such as hyperammonaemia and hepato-pulmonary syndrome (2). Different conduits as autologous and cryopreserved veins or prosthetic grafts have been previously reported (3–7). We present herein the first case of a MRS using the autologous deep femoral vein in a 17-year-old female patient affected by EHPVO from unknown reasons.

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R.I. Troisi

R. I. Troisi, M.D., Ph.D, FEBS. Dept. of General and HPB Surgery, Liver Transplantation Service Ghent University Hospital Medical School De Pintelaan 185 9000 Gent, Belgium E-mail: [email protected]