PMC6607703_01
Intraoperative US images demonstrating caval obstruction. Inferior vena cava (IVC), middle hepatic vein (MHV).
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Intraoperative ultrasound (US) was used by the surgeon and radiologist to evaluate the intrahepatic vessels for flow (Figure 2).
Showing intraoperative TEE images demonstrating IVC suprahepatic anastamotic stenosis and hepatic vein thrombosis.
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This confirmed the presence of an inferior vena cava (IVC) suprahepatic anastomotic stenosis and hepatic vein thrombus resulting in hepatic outflow obstruction, allograft congestion, and hemodynamic instability (Figure 3).
Modified hepatic views with corresponding anatomical model.
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Modified transgastric hepatic vein view (Figure 4) was obtained first by rotating the probe clockwise from the transgastric view, and then opening the omniplane angle to about 60 degrees to find the long-axis view of the hepatic vein.