| Successful outcome after a technically challenging liver transplant during pregnancy. | |
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MedLine Citation:
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PMID: 17580226 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Little is known about the implications of liver transplantation (OLT) during pregnancy. We report the case of a 26-year-old woman with cryptogenic familial biliary cirrhosis that decompensated rapidly. OLT was performed using the donor iliac vein for a retrogastric portal vein conduit to the superior mesenteric vein and the donor iliac artery for an infrarenal aortic conduit. During the latter anastomosis, a viable fetus was noticed. Both donor and recipient were cytomegalovirus positive. Postoperative ultrasound revealed a 13.5-week-old viable fetus. The patient received tacrolimus, azathioprine, and prednisolone. The pregnancy progressed normally with the vaginal delivery of a healthy male infant after 36 weeks gestation. Nineteen months later, both the mother and child were well. This case demonstrated that even technically difficult OLT during pregnancy can have a successful outcome, raising the question of whether transplant patients of childbearing age should be routinely tested for pregnancy. |
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Authors:
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Z Jankovic; D Stamenkovic; B Duncan; R Prasad; M Davies |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Transplantation proceedings Volume: 39 ISSN: 0041-1345 ISO Abbreviation: Transplant. Proc. Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-06-20 Completed Date: 2007-09-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0243532 Medline TA: Transplant Proc Country: United States |
Other Details:
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Languages: eng Pagination: 1704-6 Citation Subset: IM |
Affiliation:
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Department of Anesthesia, St. James University Hospital, Leeds, West Yorkshire, United Kingdom. zorica.jankovic@leedsth.nhs.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Infant, Newborn Liver Cirrhosis, Biliary / surgery* Liver Transplantation / methods* Pregnancy Pregnancy Complications / surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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