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.
Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Taipei, Taiwan, China.
K-H
KH
Chen
C-C
CC
Liu
C-H
CH
Yang
C-H
CH
Wang
A M
AM
Concejero
H-N
HN
Luk
B
B
Jawan
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