title: [Clinical study of blood type A donor liver transplantation in type O recipients].
abstract: OBJECTIVE
  To study the clinical effect and feasibility of blood type A donor liver transplantation in blood type O recipients.
  
  
  METHODS
  The clinical data were analyzed in 6 blood type O patients receiving transplantation of the liver grafts from blood type A donors. The clinical effect and outcomes of the transplantations were evaluated to assess the feasibility of ABO incompatible liver transplantation between type A donors and type O recipients.
  
  
  RESULTS
  The operations and the postoperative recovery were smooth in all the 6 recipients. Only one patient died 5 months postoperatively due to liver tumor metastasis, and the other 5 patients survived with the longest survival reaching 14 months. Acute graft rejection occurred in one patient 1 week after the operation on account of abnormally elevated serum bilirubin level, which was successfully managed with immediate methylprednisolone therapy. No such complications as acute graft rejection, bile duct stenosis or bile leakage was found in the other patients.
  
  
  CONCLUSIONS
  Blood type A donor liver transplantation in type O recipient is feasible in emergency or other special conditions.
authors.affiliation: Department of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. GDWKLJH@163.com
authors.forename: Jian-hua
authors.initials: JH
authors.lastname: Lin
authors.forename: Jie
authors.initials: J
authors.lastname: Zhou
authors.forename: Yi-xiong
authors.initials: YX
authors.lastname: Lin
authors.forename: Qi-fan
authors.initials: QF
authors.lastname: Zhang
mesh_terms: D000017:ABO Blood-Group System / Q000276:immunology*; D000328:Adult; D001787:Blood Group Incompatibility / Q000276:immunology*; D005260:Female; D006085:Graft Survival; D006801:Humans; D016031:Liver Transplantation / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014019:Tissue Donors
chemical_list: D000017:ABO Blood-Group System