9th Congress of the Andalucian Transplantation SocietyCase reportCase Report of Relay Liver Transplantation With Graft Infected With Hepatitis B Virus
Section snippets
Case Presentation
The 1st LT was performed in 2003. The donor liver was procured from a 67-year-old man with a body mass index of 25 kg/m2 who died from intracerebral hemorrhage. It was transplanted to a 49-year-old male patient who suffered from HBV cirrhosis, complicated by hepatic encephalopathy and hepatorenal syndrome. His Model for End-Stage Liver Disease (MELD) score at time of LT was 30. Both the donor and the recipient had blood group O and were rhesus positive. Implantation of the liver graft was
Discussion
Reuse of liver graft for transplantation is rare and is termed “relay transplantation” in the present case report. There were 29 case reports of relay LT in the literature [1], [2], and to the best of our knowledge our patient is the 1st and only relay LT with the use of an HBV liver graft. Brain death of a former LT recipient is uncommon, but intracerebral hemorrhage and cerebral edema are the commonest causes. Most series in literature were reports on early (<1 wk) reuse of liver grafts. The
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Cited by (3)
Reuse of Living-Donor Liver Graft in Second Recipient with Long-Term Survival
2018, Transplantation ProceedingsCitation Excerpt :They summarized the indications for successful reuse of liver grafts: all reused grafts should be obtained from young and stable initial donors, excellent graft function in the first recipient, early reuse (within 48 h), short preservation times, biopsy showing minimal preservation injury, negative donor-recipient cross match, AB0 compatibility, and absence of viral, bacterial, and fungal infection. Along with the progress of operative techniques, organ preservation, immunosuppression, and perioperative management, many successful cases of reuse of liver graft have been reported around the world, such as early [1–3] or late [4,5] reuse, reuse of auxiliary liver grafts [6], and reuse of a graft with hepatitis B virus [7]. However, there has been no previous report of reuse of living donor liver graft case.
A liver’s iliad: Liver graft retransplant to a second recipient after brain death in a first recipient
2021, Experimental and Clinical Transplantation