Document Detail

Selective use of extended criteria deceased liver donors with anatomic variations.
MedLine Citation:
PMID:  23274335     Owner:  NLM     Status:  MEDLINE    
BACKGROUNDS: An ongoing shortage of organs for liver transplantation has led surgeons to continually modify criteria for organ acceptance, which are now defined as extended criteria. The organ shortage becomes more problematic in retransplantation, in which the use of a limited resource such as a liver graft with anatomic variation must be weighed against the risk of a more difficult operation.
CASE REPORTS: We report 2 peculiar anatomic variations discovered in deceased donors for whole liver transplantation and confirmed at the back table: 1 with a huge biliary enlargement of the common hepatic duct and 1 with a celiac trunk aneurysm. In the first variation, any potential biliary reconstruction was thought to be at high risk of difficult outflow. The vascular anomaly did not preclude successful performance of a liver retransplantation.
CONCLUSIONS: We briefly report the use of 2 liver grafts from deceased donors with rare anatomic variations, which is relevant to increasing the liver donor pool. To the best of our knowledge this is the first report of this biliary anomaly. In certain specific settings, strategies based on the appropriate donor-recipient match have allowed the use of grafts that otherwise would have been discarded due to celiac aneurysm.
Fabrizio di Francesco; Duilio Pagano; Gabriel Echeverri; Michela De Martino; Marco Spada; Bruno G Gridelli; Salvatore Gruttadauria
Related Documents :
23538375 - Outcome of deceased donor renal transplantation - a single-center experience from devel...
24601705 - Kidney transplant early venous complications managed by reperfusion and re-transplantat...
23123445 - Chromaffin cell transplants: from the lab to the clinic.
23777935 - Role of anti-vimentin antibodies in allograft rejection.
15185775 - Protein adsorption on ex vivo catheters and polymers exposed to peritoneal dialysis eff...
9233105 - Aana journal course: update for nurse anesthetists-brain death: terminology, clinical c...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of transplantation : quarterly of the Polish Transplantation Society     Volume:  17     ISSN:  2329-0358     ISO Abbreviation:  Ann. Transplant.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-31     Completed Date:  2013-05-28     Revised Date:  2013-06-17    
Medline Journal Info:
Nlm Unique ID:  9802544     Medline TA:  Ann Transplant     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  140-3     Citation Subset:  IM    
Department of Abdominal and Transplantation Surgery, Mediterranean Institute for Transplantation and Advanced Specialized Therapies, University of Pittsburgh Medical Center in Italy, Palermo, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Carcinoma, Hepatocellular / surgery
Celiac Artery*
Donor Selection / methods*
End Stage Liver Disease / surgery
Hepatic Duct, Common / abnormalities*
Liver / abnormalities*
Liver Neoplasms / surgery
Liver Transplantation*
Middle Aged
Tissue Donors*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Graft-versus-host disease after solid organ transplantation: a single center experience and review o...
Next Document:  Early everolimus-induced pneumonitis in a renal transplant recipient: A case report.