title: Cadaveric domino liver transplantation: the first case in Japan.
abstract: The first case of domino liver transplantation from a brain-dead donor in Japan is described. A 49-year-old man with familial amyloidotic polyneuropathy received a cadaver liver, and his native liver was transplanted into a 53-year-old man with polycystic liver and kidney disease. The cadaveric liver allograft was transplanted by the conventional technique. The graft taken from the first recipient had four outflow orifices (the left, middle, and right hepatic veins, and upper vena cava), for which a single orifice was created at the back table. This graft was transplanted in piggy-back fashion. The first recipient developed acute rejection on day 13 and hepatic artery stenosis on day 36. These were treated by steroid recycle therapy and percutaneous transarterial angioplasty. He was discharged on day 57 with normal liver function. The second recipient underwent re-operation for bleeding from the right adrenal gland and left thoracic cavity. He was diagnosed with acute rejection on day 7, which was treated by steroid pulse therapy. He was discharged uneventfully on day 39 with normal liver function.
authors.affiliation: First Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Wakayama
authors.forename: Maeng Bong
authors.initials: MB
authors.lastname: Jin
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Furukawa
authors.forename: Satoru
authors.initials: S
authors.lastname: Todo
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Shimamura
authors.forename: Tomomi
authors.initials: T
authors.lastname: Suzuki
authors.forename: Masahiro
authors.initials: M
authors.lastname: Hattori
authors.forename: Ryouji
authors.initials: R
authors.lastname: Yokoyama
authors.forename: Sari
authors.initials: S
authors.lastname: Iwasaki
authors.forename: Masanori
authors.initials: M
authors.lastname: Sato
authors.forename: Takahito
authors.initials: T
authors.lastname: Nakagawa
authors.forename: Noriaki
authors.initials: N
authors.lastname: Kurauchi
authors.forename: Hirohumi
authors.initials: H
authors.lastname: Kamachi
authors.forename: Toshiya
authors.initials: T
authors.lastname: Kamiyama
authors.forename: Michiaki
authors.initials: M
authors.lastname: Matsushita
mesh_terms: D028227:Amyloid Neuropathies, Familial / Q000601:surgery*; D001926:Brain Death; D002102:Cadaver; D006084:Graft Rejection; D006801:Humans; D007564:Japan; D008107:Liver Diseases / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D007690:Polycystic Kidney Diseases / Q000601:surgery*