Early renal failure after domino hepatic transplantation using the liver from a compound heterozygous patient with primary hyperoxaluria
Author(s) -
Stefan Farese,
Nicolas Trost,
Daniel Candinas,
Uyen HuynhDo
Publication year - 2005
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfi019
Subject(s) - medicine , primary hyperoxaluria , liver transplantation , transplantation , kidney , calcineurin , economic shortage , cadaveric spasm , domino , kidney transplantation , urology , surgery , gastroenterology , linguistics , philosophy , biochemistry , chemistry , government (linguistics) , catalysis
To cover the shortage of cadaveric organs, new approaches to expand the donor pool are needed. Here we report on a case of domino liver transplantation (DLT) using an organ harvested from a compound heterozygous patient with primary hyperoxaluria (PHO), who underwent combined liver and kidney transplantation. The DLT recipient developed early renal failure with oxaluria. The time to the progression to oxalosis with renal failure in such situations is unknown, but, based on animal data, we hypothesize that calcineurin inhibitors may play a detrimental role.
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