Stenosis of the hepatic vein anastomosis after liver transplantation: Treatment with a heparin‐coated metal stent

Delayed-onset fibrotic stenosis of the hepatic-vein anastomosis following liver transplantation resulted in ascites and abnormal liver-function tests. The stenosis was treated with balloon dilatation resulting in a clinical improvement; however, this had to be repeated four times in the 9 months after transplantation due to recurrent stenosis. The stenosis was eventually successfully treated with percutaneous insertion of a metal stent. Aspirin 50 mg daily was prescribed for 1 month. The patient was not anticoagulated. The patient remains clinically well at follow up after 18 months.