Open AccessDiagnostic dilemma of coagulation problems in an HIV-positive patient with end-stage liver disease undergoing liver transplantation
Author(s) -
Ali Abdullah,
Ibtesam A. Hilmi,
Raymond M. Planinsic
Publication year - 2015
Publication title -
world journal of transplantation
Language(s) - English
Resource type - Journals
ISSN - 2220-3230
DOI - 10.5500/wjt.v5.i1.34
Subject(s) - medicine , liver transplantation , portal vein thrombosis , cirrhosis , transplantation , surgery , liver disease , cadaveric spasm , stage (stratigraphy) , human immunodeficiency virus (hiv) , immunology , paleontology , biology
Human immunodeficiency virus (HIV) may result in devastating multi-organ complications, including cirrhosis. Consequently, liver transplantation is often required for these patients. We report a case of a 43-year-old female with cryptogenic cirrhosis and HIV on highly active antiretroviral therapy, presenting for non-related living donor liver transplantation. The intra-operative course was complicated by hepatic artery and portal vein thrombosis, requiring thrombectomy. On postoperative day-3, the patient required re-transplantation with a cadaveric donor organ due to primary graft failure.