[Hepatitis B in established cardiac cirrhosis--a rare indication for liver transplantation].
A 34 year old patient was diagnosed as suffering from congestive cirrhosis due to constrictive pericarditis 18 years ago. A terminal dystrophic episode of additionally acquired chronic aggressive hepatitis B led to rapidly progressive liver failure. Orthotopic liver transplantation was carried out. 10 months after transplantation the patient is alive and well. Presence of HBsAg and HBcAg can again be demonstrated in the liver graft, however, without histologic evidence of hepatitis. Problems of prognosis after liver transplantation for hepatitis B virus infection are discussed.
Bechstein
W O
WO
Chirurgische Klinik, Universitätsklinikum Rudolf Virchow, Standort Charlottenburg, Berlin.
Blumhardt
G
G
Neuhaus
P
P
Hopf
U
U
Lobeck
H
H
D000328:Adult; D005500:Follow-Up Studies; D006509:Hepatitis B / Q000473:pathology / Q000601:surgery*; D006512:Hepatitis B Core Antigens / Q000032:analysis; D006514:Hepatitis B Surface Antigens / Q000032:analysis; D006801:Humans; D008099:Liver / Q000473:pathology; D008103:Liver Cirrhosis / Q000473:pathology / Q000601:surgery*; D008111:Liver Function Tests; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D010494:Pericarditis, Constrictive / Q000150:complications*; D011183:Postoperative Complications / Q000473:pathology*; D012008:Recurrence
D006512:Hepatitis B Core Antigens; D006514:Hepatitis B Surface Antigens
Hepatitis B bei vorbestehender Zirrhose cardiaque--eine seltene Indikation zur Lebertransplantation.