Successful outcome after a technically challenging liver transplant during pregnancy.

[Guest guest]

Not about PSC – but interesting anyway!

Transplant

Proc. 2007 Jun;39(5):1704-6.

Successful outcome after a technically

challenging liver transplant during pregnancy.

Jankovic Z, Stamenkovic D, Duncan B, Prasad R, Davies M.

Department of Anesthesia, St. University

Hospital, Leeds, West Yorkshire, United Kingdom.

Little is known about the implications of liver transplantation (OLT)

during pregnancy. We report the case of a 26-year-old

woman with cryptogenic familial biliary cirrhosis that decompensated rapidly. OLT was performed using the donor iliac vein for a retrogastric portal vein conduit to the superior mesenteric

vein and the donor iliac artery for an infrarenal

aortic conduit. During the latter anastomosis,

a viable fetus was noticed. Both donor and recipient

were cytomegalovirus positive. Postoperative

ultrasound revealed a 13.5-week-old viable fetus. The

patient received tacrolimus, azathioprine,

and prednisolone. The pregnancy progressed normally

with the vaginal delivery of a healthy male infant after 36 weeks gestation. Nineteen months later, both the mother and child were well. This case demonstrated that even technically difficult OLT

during pregnancy can have a successful outcome, raising the question of whether

transplant patients of childbearing age should be routinely tested for pregnancy. PMID: 17580226 [PubMed

- indexed for MEDLINE]

With love, Barb in Texas - Together in the Fight, Whatever it Takes!

Son Ken (33) UC 91 - PSC 99 - Tx 6/21 & 6/30/07 @ Baylor in Dallas