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Auxiliary Liver Transplantation for Propionic Acidemia: A 10‐Year Follow‐Up
Author(s) -
Rela M.,
Battula N.,
Madanur M.,
MieliVergani G.,
Dhawan A.,
Champion M.,
Raiman J.,
Heaton N.
Publication year - 2007
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/j.1600-6143.2007.01899.x
Subject(s) - medicine , propionic acidemia , liver transplantation , transplantation , abnormality , decompensation , liver function , retrospective cohort study , metabolic disorder , liver function tests , gastroenterology , surgery , psychiatry
Orthotopic liver transplantation (OLT) is an established treatment for patients with liver‐based metabolic disorders that produce structural and functional impairment. Auxiliary liver transplantation (ALT) has been proposed as an alternative approach due to the potential advantage of preserving the native liver that could be used for future gene therapy and also serves as a back‐up should the graft fail. The aim of our study was to determine if ALT has the long‐term potential to correct the underlying abnormality in propionic acidemia (PA). A retrospective analysis was performed on graft function, metabolic parameters and effects on development in a child who underwent ALT for PA at our institute. The clinical and biochemical parameters are near normal with no diet restrictions and with good graft survival. A normal growth and an acceptable neurological and psychomotor development were achieved in the child. ALT is feasible and provides adequate liver mass to prevent metabolic decompensation in PA .