Living Donor Intestinal Transplantation: Two-Decade Outcomes

constructed of donor abdominal aorta containing CT and SMA (8%), of donor iliac artery (1%), or donor thoracic aorta either anastomosed to (1) a patch containing CT and SMA (6%) (2) abdominal aorta containing CT and SMA (7%) or (3) abdominal aorta containing CT and SMA extended by thoracic aorta (79%).Position on recipient aorta was infrarenal in all but one patient (orthotopic position).Aortic conduit complications (n=14, 5%) (and related deaths n=7, 2.5%): stenosis/kinking ostia SMA 3/1 of 280, respectively (0 death), mycotic aneurysm 5/280 (3 deaths), thrombosis 1/ 280 (1 death), aorto-enteric fistula 2/280 (2 deaths) and bleeding 2/280 (1 death).1-/5-/10-yr patient survival: 67%/ 51%/39%.Conclusions: Several technical variations on aortic conduit in (m)MVTx are used worldwide.Although no standardized protocol exists, related complications and death is limited.