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Long‐term survival after 67 hours of anhepatic state due to primary liver allograft nonfunction
Author(s) -
Arora Harendra,
Thekkekandam Janine,
Tesche Leora,
Sweeting Raeshell,
Gerber David A.,
Hayashi Paul H.,
Andreoni Kenneth,
Kozlowski Tomasz
Publication year - 2010
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.22166
Subject(s) - medicine , liver transplantation , portacaval shunt , surgery , hepatectomy , transplantation , portal hypertension , resection , cirrhosis
Primary liver allograft nonfunction immediately after transplantation poses a life‐threatening situation for the recipient. Emergency retransplantation may not be immediately possible due to organ unavailability. Total hepatectomy with temporary portacaval shunt has been described as a bridge to retransplantation when the presence of the graft appears to be harming the recipient. Case reports of retransplantation after total hepatectomy with anhepatic times greater than 48 hours routinely describe poor outcomes. We present a case with excellent patient outcome after 95 hours of clinical anhepatic state, including 67 hours of anatomical anhepatic time, because of primary liver allograft nonfunction. This case report documents the longest anhepatic time with subsequent successful transplant to date. Liver Transpl 16:1428–1433, 2010. © 2010 AASLD.