title: Successful segmental auxiliary liver transplantation from a non-heart-beating donor: implications for split-liver transplantation.
abstract: BACKGROUND
  Liver transplantation (LT) using grafts from non-heart-beating donors (NHBDs) has been shown to be a successful practice. Recently reported primary nonfunction rates are similar to those of LT using grafts from brain-dead donors.
  
  
  METHODS
  We report the use of an NHBD liver, which was cut into a right-lobe graft and implanted as an auxiliary partial orthotopic liver transplant for acute liver failure in a 11-year-old child. The warm ischemia time was 21 minutes, and the cold ischemia was 8 hours.
  
  
  RESULTS
  Initial graft function was excellent, and the child is well, with normal liver function 2 months posttransplant.
  
  
  CONCLUSIONS
  Reduction and splitting of livers from NHBDs for transplantation is a realistic option, provided there is careful selection of the graft.
authors.affiliation: Department of Liver Transplantation, Institute of Liver Studies, King's College Hospital, Denmark Hill, Camberwell, London, United Kingdom. pmuiesan@yahoo.co.uk
authors.forename: Paolo
authors.initials: P
authors.lastname: Muiesan
authors.forename: Raffaele
authors.initials: R
authors.lastname: Girlanda
authors.forename: Alistair
authors.initials: A
authors.lastname: Baker
authors.forename: Mohamed
authors.initials: M
authors.lastname: Rela
authors.forename: Nigel
authors.initials: N
authors.lastname: Heaton
mesh_terms: D002102:Cadaver; D002648:Child; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D014019:Tissue Donors