title: Liver transplant using a severely lacerated graft treated by arterial embolization.
abstract: Organ shortages present a problem for liver transplant. Use of traumatized livers could be a way of expanding the donor pool. We report the case of a liver transplant we did in which we used a deeply lacerated liver obtained from a donor, previously treated with a super-selective embolization of segment VI-VII arterial branches to control bleeding. At the back table, the lacerations were repaired using fibrin sealant and stitches. Organ reperfusion was homogeneous, without signs of bleeding. The recipient's postoperative course was uneventful. Injured livers, if well selected, may not be considered an absolute contraindication for liver transplant. However, in these cases, arterial embolization must not routinely be used for a graft for a liver transplant.
authors: Department of General Surgery and Organ Transplant, Sapienza University of Rome, Umberto I Policlinic of Rome, Rome, Italy. lai.quirino@libero.it
authors: Quirino
authors: Q
authors: Lai
authors: Stefano
authors: S
authors: Ferretti
authors: Massimo
authors: M
authors: Rossi
authors: Pasquale B
authors: PB
authors: Berloco
mesh_terms: D000293:Adolescent; D001926:Brain Death; D046148:Donor Selection; D004621:Embolization, Therapeutic; D005260:Female; D006498:Hepatectomy; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D008099:Liver / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D008103:Liver Cirrhosis / Q000175:diagnosis / Q000601:surgery* / Q000821:virology; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012307:Risk Factors; D014019:Tissue Donors / Q000600:supply & distribution*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome