title: A successful child-to-adult deceased donor liver transplantation: a case report and literature review.
abstract: BACKGROUND
  Size mismatch, which might result in small-for-size syndrome, is still a major limitation of liver transplantation. Prior data has suggested that a graft-to-recipient weight ratio <0.8% was a risk factor for developing small-for-size syndrome.
  
  
  METHODS
  We report the case of a 60-year-old woman who received a whole liver graft, with an estimated graft-to-recipient weight ratio of 0.46%, from a 10-year-old child donor weighing 12.8 kg pre-operatively. Delicate graft inflow modulation was performed according to the intra-operative hemodynamic changes, including portal vein flow, hepatic artery flow, portal vein pressure, and hepatic venous pressure gradient, to avoid small-for-size syndrome.
  
  
  CONCLUSIONS
  The post-transplant course was uneventful and satisfactory. To the best of our knowledge, this is the first reported case of a successful adult deceased donor liver transplantation using a whole liver graft from a brain-dead pediatric donor.
authors.affiliation: Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: An-Chieh
authors.initials: AC
authors.lastname: Feng
authors.affiliation: Department of Surgery, Song Shan Branch, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Chi-Yang
authors.initials: CY
authors.lastname: Liao
authors.affiliation: Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Hsiu-Lung
authors.initials: HL
authors.lastname: Fan
authors.affiliation: Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Teng-Wei
authors.initials: TW
authors.lastname: Chen
authors.affiliation: Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Chung-Bao
authors.initials: CB
authors.lastname: Hsieh
mesh_terms: D000367:Age Factors; D002648:Child; D005260:Female; D006526:Hepatitis C / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation; D019520:Living Donors; D008875:Middle Aged; D016896:Treatment Outcome