Liver transplantation from ab0-incompatible donor in patient with high level of ab0-antibodies and previous surgery

Abstract

Biliary atresia is a congenital disease characterized by a progressive course with the lesion of primarily extrahepatic bile ducts leading to the development of cholestasis. Treatment consists in performing an operative intervention such as, Kasai portoenterostomy, or liver transplantation. This clinical case shows the experience of left lobe living donor liver transplantation in child, who underwent complicated portoenterstomy in young years. In case of AB0-compatible donors is absence, the AB0-incompatible living donor can become useful opportunity for urgent recipient. Endovascular embolization of the branches of the splenic artery can become a «bridge» to AB0-incompatible liver transplantation.

Keywords

• living donor liver transplantation
• biliary atresia
• ab0-incompatible liver transplantation