Abstract:
BACKGROUND:The shortage of organs for liver transplantation has forced transplant centers to expand the donor pool by using donors traditionally labeled as marginal. One such example is liver transplantation using a donor with HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets), a disorder of late pregnancy that involves the liver as one of the target organs. METHODS:Two patients who died from complications of HELLP syndrome were evaluated for attempted multi-organ procurement. Donor characteristics, gross and microscopic liver findings, and procurement and transplant outcomes were reviewed. RESULTS:One of the liver allografts was successfully transplanted; the other was not procured because of poor macroscopic appearance. CONCLUSION:It is possible to successfully transplant the liver from a donor that succumbs to HELLP syndrome, provided there is adequate recovery of liver function before procurement.
journal_name
Transplantationjournal_title
Transplantationauthors
Briceno PJ,Ortiz JA,Manzarbeitia C,Jeon H,Munoz SJ,Rothstein KD,Araya V,Gala I,Reich DJdoi
10.1097/01.TP.0000101510.01404.F0subject
Has Abstractpub_date
2004-01-15 00:00:00pages
137-9issue
1eissn
0041-1337issn
1534-6080journal_volume
77pub_type
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