Uncommon Occurrence of an Air Embolism during the Preanhepatic Phase of an Orthotopic Liver Transplant

Vascular air embolism (VAE) during liver transplantation usually occurs during the dissection phase of the procedure or during liver reperfusion. If this phenomenon occurs, it can cause significant cardiovascular, pulmonary, and neurological complications. Prompt identification of VAE is essential, and the surgeon should be immediately notified. The mainstay treatment is identification and rectification of the source of the air embolus, hemodynamic support, and prevention of further air entrainment. This case report describes the occurrence of a pulmonary air embolism during the preanhepatic phase of an orthotopic liver transplant.

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Living-related liver transplant to treat epithelioid hemangioendothelioma – a case report

Brazilian Journal of Transplantation ◽

10.53855/bjt.v8i4.383 ◽

2005 ◽

Vol 8 (4) ◽

pp. 449-451

Author(s):

Marcelo A. F. Ribeiro Jr ◽

Christian Evangelista Garcia ◽

Telma Eugênio dos Santos ◽

Adavio de Oliveira e Silva ◽

Regina Leitão ◽

...

Keyword(s):

Liver Transplantation ◽

Case Report ◽

Liver Transplant ◽

Soft Tissues ◽

Liver Tumors ◽

Epithelioid Hemangioendothelioma ◽

Low Grade ◽

Living Related Liver Transplant ◽

Transplantation Technique ◽

Living Related

Introduction: Epithelioid hemangioendothelioma of liver is a rare, low-grade neoplasm of vascular origin that has an unpredictable malignant potential. It preferentially arises in soft tissues and bones, and seldom in the liver. Biologically, it trends to be multi-focal and often unresectable. Objective: The outcome of a patient submitted to a living-related liver transplant to treat epithelioid hemangioendothelioma of the liver. Case report: The reported case involves a 39-year old female patient with an immense epithelioid hemangioendothelioma of the liver, involving segments III, IV, V, VII, and VIIl. The prognostic to any kind of treatment was considered unfavorable, and the decision of submitting her to a liver transplant was made. It was suggested a living-related liver transplant. The donor was the patient’s 36-year old brother, who donated his right liver lobe (segments V, VI, VII, VIII). The recipient´s original liver was large, presenting very solid consistence and no node evidence. The transplant itself was performed using the conventional living-related liver transplantation technique. The recovery was good, and she was discharged from hospital on the 15th postoperative day using micophenolate mofetil, tacrolimus, and corticoid. Conclusion: Liver transplantation for epithelioid hemangioendothelioma of the liver can be performed with acceptable survival rate. The living related liver transplant opens a great perspective to that group of patients presenting liver tumors and who are unfeasible to wait for an organ on a waiting list.

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Delayed domino liver transplantation: use of the remnant liver of a recipient of a temporary auxiliary orthotopic liver transplant as a liver graft for another patient

Transplantation Journal ◽

10.1097/01.tp.0000101004.83154.b4 ◽

2004 ◽

Vol 77 (2) ◽

pp. 324 ◽

Cited By ~ 7

Author(s):

Yasuhiko Hashikura ◽

Toshihiko Ikegami ◽

Yuichi Nakazawa ◽

Koichi Urata ◽

Shiro Ogino ◽

...

Keyword(s):

Liver Transplantation ◽

Liver Transplant ◽

Orthotopic Liver Transplant ◽

Liver Graft ◽

Remnant Liver ◽

Domino Liver Transplantation

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Asymptomatic Histoplasma Pylephlebitis in an Orthotopic Liver Transplant Recipient: A Case Report and Literature Review

Mycopathologia ◽

10.1007/s11046-018-0265-6 ◽

2018 ◽

Vol 184 (1) ◽

pp. 177-180 ◽

Cited By ~ 1

Author(s):

Pakpoom Phoompoung ◽

Methee Chayakulkeeree ◽

Popchai Ngamskulrungroj ◽

Ananya Pongpaibul

Keyword(s):

Case Report ◽

Literature Review ◽

Transplant Recipient ◽

Liver Transplant ◽

Liver Transplant Recipient ◽

Orthotopic Liver Transplant

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P08.10 * SINGLE BRAIN METASTASIS 9 YEARS AFTER ORTHOTOPIC LIVER TRANSPLANT WITH HISTOLOGICAL NEGATIVE EXPIANTED LIVER: CASE REPORT

Neuro-Oncology ◽

10.1093/neuonc/nou174.198 ◽

2014 ◽

Vol 16 (suppl 2) ◽

pp. ii52-ii52

Author(s):

R. Fornaro ◽

A. Agnoletti ◽

F. M. C. Specchia ◽

D. Garbossa ◽

M. Lanotte ◽

...

Keyword(s):

Case Report ◽

Brain Metastasis ◽

Liver Transplant ◽

Orthotopic Liver Transplant ◽

Single Brain Metastasis

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A Case Report of Paradoxical Air Embolism Caused by Intrapulmonary Shunting During Liver Transplantation

Transplantation Direct ◽

10.1097/txd.0000000000000651 ◽

2017 ◽

Vol 3 (3) ◽

pp. e134 ◽

Cited By ~ 1

Author(s):

Adam Badenoch ◽

Coimbatore Srinivas ◽

David Al-Adra ◽

Markus Selzner ◽

Marcin Wąsowicz

Keyword(s):

Liver Transplantation ◽

Case Report ◽

Air Embolism ◽

Intrapulmonary Shunting

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Outcomes of Patients With Familial Transthyretin Amyloidosis After Liver Transplantation

Progress in Transplantation ◽

10.1177/1526924817715463 ◽

2017 ◽

Vol 27 (3) ◽

pp. 246-250 ◽

Cited By ~ 7

Author(s):

Dipti Banerjee ◽

Lindsey E. Roeker ◽

Martha Grogan ◽

Paul Swiecicki ◽

John Poterucha ◽

...

Keyword(s):

Liver Transplantation ◽

Overall Survival ◽

Liver Transplant ◽

Research Question ◽

Organ Transplant ◽

Early Death ◽

Multiple Organ ◽

Orthotopic Liver Transplant ◽

Transthyretin Amyloidosis ◽

Organ Systems

Background: Familial transthyretin amyloidosis is a disease caused by misfolded transthyretin aggregates that can impair multiple organ systems. Liver transplantation is the first-line treatment for familial transthyretin amyloidosis. Research Question: Our objective is to study outcomes and survival among patients with familial transthyretin amyloidosis after transplantation. Design: All patients undergoing orthotopic liver transplant for familial transthyretin amyloidosis at Mayo Clinic between 1997 and 2012 were reviewed. Baseline clinical characteristics, organs transplanted, and posttransplant clinical course were assessed. Results: Of the 40 patients, 7 patients had the V30M mutation and 33 had other mutations. Nineteen patients received liver only, 19 liver and heart, and 2 combined liver, heart, and kidney transplants. The 5-year overall survival was 85% for those receiving multiple organ transplant and 52% for those receiving liver transplant only ( P = .057). There was no difference in overall survival based on mutation (V30M vs other mutations), but survival was confounded by varied disease involvement and organs transplanted. Those who had early death (≤24 months from liver transplant) had a higher incidence of baseline peripheral neuropathy, autonomic neuropathy, lower modified BMI, and higher alkaline phosphatase. Discussion: Outcomes of orthotopic liver transplant in familial transthyretin amyloidosis are variable due to heterogeneity in mutations and patient status at the time of transplant. Familial transthyretin amyloidosis can progress, despite liver transplantation. Patients receiving combined liver, heart/kidney transplant demonstrated improved survival compared to liver transplant alone.

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