The 2-stage liver transplant: 3 clinical scenarios

Exp Clin Transplant. 2015 Apr:13 Suppl 1:286-9. doi: 10.6002/ect.mesot2014.p135.

Abstract

The main goal of 2-stage liver transplant is to provide time to obtain a new liver source. We describe our experience of 3 patients with 3 different clinical conditions. A 57-year-old man was retransplanted successfully with this technique due to hepatic artery thrombosis. However, a 38-year-old woman with fulminant toxic hepatitis and a 5-year-old-boy with abdominal trauma had poor outcome. This technique could serve as a rescue therapy for liver transplant patients who have toxic liver syndrome or abdominal trauma. These patients required intensive support during long anhepatic states. The transplant team should decide early whether to use this technique before irreversible conditions develop.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Injuries / diagnosis
  • Abdominal Injuries / etiology
  • Abdominal Injuries / surgery*
  • Accidental Falls
  • Adult
  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / etiology
  • Arterial Occlusive Diseases / surgery*
  • Chemical and Drug Induced Liver Injury / diagnosis
  • Chemical and Drug Induced Liver Injury / surgery*
  • Child, Preschool
  • Fatal Outcome
  • Female
  • Graft Rejection / diagnosis
  • Graft Rejection / etiology
  • Graft Rejection / surgery*
  • Hepatic Artery / surgery*
  • Humans
  • Liver Transplantation / adverse effects
  • Liver Transplantation / methods*
  • Male
  • Middle Aged
  • Mushroom Poisoning / diagnosis
  • Mushroom Poisoning / surgery*
  • Reoperation
  • Thrombosis / diagnosis
  • Thrombosis / etiology
  • Thrombosis / surgery*
  • Treatment Outcome