Anesthetic management of a pregnant living related liver donor.
Pregnancy is often considered a contraindication to living related liver donation. There are serious medical and ethical considerations if a pregnant woman insists on undergoing partial hepatectomy to save her sick child. Herein we report a case of living related liver donation from a pregnant woman at 18 weeks of gestation to her 1-year-old child with decompensated cirrhosis due to biliary atresia. The left lateral segment of the liver was harvested for donation. Meticulous surgical technique and anesthetic management were mandatory in assuring a successful outcome. While this isolated case demonstrated that living related liver donation can be performed successfully with a pregnant donor, it should be undertaken only when there is absolutely no other donor and the recipient is in urgent need.
Chen
K-H
KH
Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Taipei, Taiwan, China.
Liu
C-C
CC
Yang
C-H
CH
Wang
C-H
CH
Concejero
A M
AM
Luk
H-N
HN
Jawan
B
B
D000328:Adult; D000768:Anesthesia, General; D001656:Biliary Atresia / Q000150:complications / Q000601:surgery; D002648:Child; D003404:Creatinine / Q000378:metabolism; D033001:Directed Tissue Donation; D005260:Female; D006439:Hemodynamics; D006454:Hemoglobins / Q000378:metabolism; D006498:Hepatectomy; D006801:Humans; D008105:Liver Cirrhosis, Biliary / Q000209:etiology / Q000601:surgery; D016031:Liver Transplantation; D019520:Living Donors; D011247:Pregnancy
D006454:Hemoglobins; D003404:Creatinine