Special operative events in the first case of liver grafting after heart transplantation.
Combined heart-liver transplantation is the only therapeutic possibility for patients with familial hypercholesterolemia IIa. A 12-year-old boy with this metabolopathy underwent a double transplant in two steps (different donors). This original alternative was chosen to assure a safer procedure in this critical situation. Details of intraoperative events are described. Cholesterol and LDL decreased to physiologic levels after liver transplantation. The child's condition is optimal 1.5 years after surgery.
Mora
N P
NP
Department of Surgery, Clinica Puerta de Hierro, Madrid, Spain.
Cienfuegos
J A
JA
Ardaiz
J
J
Pardo
F
F
Turrión
V S
VS
Pereira
F
F
Herrera
J
J
Castillo Olivares
J L
JL
Figuera
D
D
D002648:Child; D005112:Extracorporeal Circulation / Q000379:methods; D006084:Graft Rejection; D006323:Heart Arrest / Q000628:therapy; D016027:Heart Transplantation; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007431:Intraoperative Complications; D016031:Liver Transplantation; D008297:Male
D007166:Immunosuppressive Agents