Cadaveric domino liver transplantation: the first case in Japan.
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.
Wakayama
Kenji
K
First Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Jin
Maeng Bong
MB
Furukawa
Hiroyuki
H
Todo
Satoru
S
Shimamura
Tsuyoshi
T
Suzuki
Tomomi
T
Hattori
Masahiro
M
Yokoyama
Ryouji
R
Iwasaki
Sari
S
Sato
Masanori
M
Nakagawa
Takahito
T
Kurauchi
Noriaki
N
Kamachi
Hirohumi
H
Kamiyama
Toshiya
T
Matsushita
Michiaki
M
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*