INTRODUCTION: Portal Vein Arterialization is a rare procedure for total de-arterialized
livers to ensure arterial inflow to the liver. PRESENTATION OF CASE: A 55-year-old
male patient underwent pancreatoduodenectomy for chronic pancreatitis. One month after
discharge the patient was re-admitted because of bleeding from a pseudoaneurysm of
the ligated gastroduodenal artery. During radiological intervention a coil dislocated
and a complete occlusion of the hepatic artery occurred. Extraction of the coil was
not possible, therefore, the patient was transferred to our hospital for surgical
revascularization. We performed a side-to-side running anastomosis between a branch
of a mesenteric artery and the corresponding vein to supply arterial blood to the
liver. The postoperative course was uneventful. Radiologic examinations showed a patent
arterio-portal shunt. DISCUSSION: Portal vein arterialization might be a lifesaving
procedure in complication management. CONCLUSION: PVA is an old surgical method, which
could be helpful to reduce the failure-to-rescue rate. (C) 2020 The Author(s). Published
by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
