Living donor liver transplantation for an adult patient with situs inversus totalis.
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.
Kim
Bong-Wan
BW
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.
Bae
Byong-Ku
BK
Xu
Weiguang
W
Wang
Hee-Jung
HJ
Kim
Myung-Wook
MW
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*
Liver Transpl. 2009 Jun;15(6):666-9
19479813
Am J Transplant. 2009 Jul;9(7):1602-6
19459787
Surgery. 1993 Jul;114(1):102-6
8356512
Transplantation. 2002 Jan 15;73(1):111-4
11792989
Liver Transpl. 2006 Nov;12(11):1720-2
17058256
Liver Transpl. 2005 Jan;11(1):111-3
15690546
Transpl Int. 2008 Apr;21(4):384-9
18208420
Transplantation. 1988 Mar;45(3):661-3
3279592