title: Living donor liver transplantation with dual grafts -- a case report.
abstract: BACKGROUND
  Living donor liver transplantation (LDLT) exposes to risks both the donor, due to a potential small residual liver volume, and the recipient, who faces the risk of small-for-size graft syndrome. In order to overcome these drawbacks, liver grafts from two different donors can be used. This paper presents a case of dual graft LDLT using a right hemiliver and a left lateral section from related donors.
  
  
  METHODS
  A 14-year old female diagnosed with chronic hepatic failure due to Wilson's disease with Model-for-End- Stage-Liver-Disease score of 25, underwent a dual graft LDLT, receiving a right hemiliver with a reconstructed middle hepatic vein from her sister, and a left lateral section from her mother. None of the grafts complied with a satisfactory graft-to-recipient weight ratio (GRWR), if they would have been independently transplanted. The combined GRWR was 1.10. The donors and the recipient have been followed-up for over 1 year.
  
  
  RESULTS
  The donors had no postoperative complications. The donors and the recipient were discharged 8 and 19 days after surgery, respectively. After 12-month follow-up, both donors and the recipient were alive, with normal graft function.
  
  
  CONCLUSIONS
  Dual graft LDLT can be a feasible solution to overcome the risk of small-for-size graft syndrome.
  
  
  BACKGROUND
  BSA = body surface area, GRWR = graft-to-recipient weight ratio, GV SLV = recipient standard liver volume, HA = hepatic artery, HD = hepatic duct, HV = hepatic vein, LDLT = Living donor liver transplantation, LL = left lobe, LLS = left lateral section, MELD = Model for End-Stage Liver Disease, POD = postoperative day, PV = portal vein, RL = right lobe, SFS = small-for-size graft, SLV = standard liver volume, WD = Wilson's disease.
authors: Fundeni Clinical Institute, Bucharest, Romania.
authors: F
authors: F
authors: Botea
authors: V
authors: V
authors: Braşoveanu
authors: A
authors: A
authors: Constantinescu
authors: Mi
authors: M
authors: Ionescu
authors: E
authors: E
authors: Matei
authors: I
authors: I
authors: Popescu
mesh_terms: D000293:Adolescent; D058625:End Stage Liver Disease / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006527:Hepatolenticular Degeneration / Q000150:complications*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D009929:Organ Size; D012720:Severity of Illness Index; D016896:Treatment Outcome