title: Postoperative imaging findings in children with auxiliary partial orthotopic liver transplant (APOLT).
abstract: Auxiliary partial orthotopic liver transplant (APOLT) is a treatment technique for people who have acute hepatic failure secondary to fulminant hepatic failure and might ultimately recover normal liver function. This surgical procedure is complicated, involving the placement of a liver graft while maintaining viability of the remaining native portion of the liver. This method allows the native liver to recover hepatic function, therefore eliminating the need for long-term immunosuppression, as is typically needed in post-transplant settings. Postoperative imaging in these cases can be challenging given the complex anatomy, specifically the vascular anastomosis. Therefore it is important for radiologists and clinicians to be aware of the anatomy as well as the variable imaging appearances of the liver. We review the imaging findings in children who have undergone auxiliary partial orthotopic liver transplant (APOLT).
authors: Department of Radiology, Columbia University Medical Center, Morgan Stanley Children's Hospital, 3959 Broadway, CHONY 3N, New York, NY, 10032, USA. rsa2121@cumc.columbia.edu.
authors: Rama S
authors: RS
authors: Ayyala
authors: Center for Liver Disease and Transplantation, Columbia University Medical Center, Morgan Stanley Children's Hospital, 3959 Broadway, CHONY 7, Rm 723, New York, NY, 10032, USA.
authors: Mercedes
authors: M
authors: Martinez
authors: Center for Liver Disease and Transplantation, Columbia University Medical Center, Morgan Stanley Children's Hospital, 3959 Broadway, CHONY 7, Rm 723, New York, NY, 10032, USA.
authors: Steven J
authors: SJ
authors: Lobritto
authors: Division of Abdominal Organ Transplantation, Columbia University Medical Center, Morgan Stanley Children's Hospital, 622 West 168th Street, PH 14, Suite 105, New York, NY, 10032, USA.
authors: Tomoaki
authors: T
authors: Kato
authors: Department of Radiology, Columbia University Medical Center, Morgan Stanley Children's Hospital, 3959 Broadway, CHONY 3N, New York, NY, 10032, USA.
authors: Carrie
authors: C
authors: Ruzal-Shapiro
mesh_terms: D002648:Child; D002675:Child, Preschool; D003287:Contrast Media; D005260:Female; D006801:Humans; D007223:Infant; D007472:Iohexol; D008099:Liver / Q000000981:diagnostic imaging* / Q000601:surgery; D017114:Liver Failure, Acute / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011856:Radiographic Image Enhancement / Q000379:methods; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D003287:Contrast Media; D007472:Iohexol
keywords: Acute liver failure; Auxiliary partial orthotopic liver transplant; Children; Computed tomography; Liver; Sulfur colloid; Ultrasound