Document Detail


Successful outcome after a technically challenging liver transplant during pregnancy.
MedLine Citation:
PMID:  17580226     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Z Jankovic; D Stamenkovic; B Duncan; R Prasad; M Davies
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  39     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-20     Completed Date:  2007-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1704-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesia, St. James University Hospital, Leeds, West Yorkshire, United Kingdom. zorica.jankovic@leedsth.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
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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