title: Living donor liver transplantation for an adult patient with situs inversus totalis.
abstract: This recipient with situs inversus totalis (SIT) was a 60-year-old female who had hepatitis B-related end-stage liver disease. Preoperative donor evaluation showed that the right posterior section satisfied graft volume and was space-fitting in the recipient hepatic fossa when it was rotated 180 degrees. The operation and postoperative course progressed satisfactorily. Three weeks after living donor liver transplantation (LDLT), the graft function was disturbed by compression of bottom-placed right hepatic vein. This was treated with a vascular stent and subsequently the graft function was normalized. The present case shows that LDLT for patients with SIT using a right posterior section graft is feasible.
authors.affiliation: Center for Liver Transplantation and Hepatobiliary Surgery, Ajou University Hospital, Ajou University School of Medicine, San 5, Wonchon-Dong, Youngtong-Ku, Suwon 443-749, South Korea.
authors.forename: Bong-Wan
authors.initials: BW
authors.lastname: Kim
authors.forename: Byong-Ku
authors.initials: BK
authors.lastname: Bae
authors.forename: Weiguang
authors.initials: W
authors.lastname: Xu
authors.forename: Hee-Jung
authors.initials: HJ
authors.lastname: Wang
authors.forename: Myung-Wook
authors.initials: MW
authors.lastname: Kim
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006509:Hepatitis B / Q000150:complications; D006801:Humans; D017093:Liver Failure / Q000150:complications / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods* / Q000473:pathology; D019520:Living Donors; D008297:Male; D012857:Situs Inversus / Q000150:complications / Q000473:pathology / Q000601:surgery*
references.citation: Liver Transpl. 2009 Jun;15(6):666-9
references.pmid: 19479813
references.citation: Am J Transplant. 2009 Jul;9(7):1602-6
references.pmid: 19459787
references.citation: Surgery. 1993 Jul;114(1):102-6
references.pmid: 8356512
references.citation: Transplantation. 2002 Jan 15;73(1):111-4
references.pmid: 11792989
references.citation: Liver Transpl. 2006 Nov;12(11):1720-2
references.pmid: 17058256
references.citation: Liver Transpl. 2005 Jan;11(1):111-3
references.pmid: 15690546
references.citation: Transpl Int. 2008 Apr;21(4):384-9
references.pmid: 18208420
references.citation: Transplantation. 1988 Mar;45(3):661-3
references.pmid: 3279592