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Segmental ABO‐incompatible liver graft from a donor after cardiac death in neonatal acute liver failure
Author(s) -
Gelas Thomas,
Hartley Jane,
Mirza Darius F.,
Muiesan Paolo,
Bowen Claire,
Sharif Khalid
Publication year - 2012
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2011.01534.x
Subject(s) - medicine , abo blood group system , abo incompatibility , liver transplantation , liver failure , cardiology , transplantation
Gelas T, Hartley J, Mirza DF, Muiesan P, Bowen C, Sharif K. Segmental ABO‐incompatible liver graft from a donor after cardiac death in neonatal acute liver failure. Pediatr Transplantation 2012: 16: E53–E57. © 2011 John Wiley & Sons A/S. Abstract: Segmental liver grafts from DCD in pediatric LT have been safely used even in acute liver failure situations. Furthermore, despite the risk of antibody‐mediated acute rejection, some studies have also demonstrated the safety of ABO incompatible LT in infants. The use of such grafts can be beneficial by reducing the time on the transplant waiting list but they are more susceptible to initial dysfunction and there is a lack of enthusiasm to consider their use especially for an emergency LT as a life‐saving procedure. In this short article, we describe the use and successful outcome in a neonate with fulminant acute liver failure secondary to neonatal hemochromatosis who received an ABO‐incompatible reduced‐size DCD graft.