Successful segmental auxiliary liver transplantation from a non-heart-beating donor: implications for split-liver transplantation |
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Authors: | Muiesan Paolo Girlanda Raffaele Baker Alistair Rela Mohamed Heaton Nigel |
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Affiliation: | Department of Liver Transplantation, Institute of Liver Studies, King's College Hospital, Denmark Hill, Camberwell, London, United Kingdom. pmuiesan@yahoo.co.uk |
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Abstract: | BACKGROUND: Liver transplantation (LT) using grafts from non-heart-beating donors (NHBDs) has been shown to be a successful practice. Recently reported primary nonfunction rates are similar to those of LT using grafts from brain-dead donors. METHOD: We report the use of an NHBD liver, which was cut into a right-lobe graft and implanted as an auxiliary partial orthotopic liver transplant for acute liver failure in a 11-year-old child. The warm ischemia time was 21 minutes, and the cold ischemia was 8 hours. RESULTS: Initial graft function was excellent, and the child is well, with normal liver function 2 months posttransplant. CONCLUSION: Reduction and splitting of livers from NHBDs for transplantation is a realistic option, provided there is careful selection of the graft. |
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