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A SUCCESSFUL URGENT LIVER RETRANSPLANT FROM A DONOR WITH A LEFT VENTRICULAR ASSIST DEVICE

VİNCENZO BUSCEMİ, GİULİANA CHECCHİNİ, RİCCARDO DE CARLİS, ANDREA LAUTERİO, ANTONİO LOFORTE, DAVİDE PACİNİ, FEDERİCA ODALDİ, MATTEO CESCON, LUCİANO DE CARLİS

Experimental and Clinical Transplantation - 2021;19(5):493-496

Department of General Surgery and Transplantation, ASST Grande Ospedale Metropolitano Niguarda, Milan

 

Organ shortage is one of the major limitations in the field of liver transplantation, which has led to the consideration of extended criteria donors as a way to expand the donor pool. The use of extended criteria donors in cases of high Model for End-Stage Liver Disease scores or urgent recipients could be complicated by increased postoperative mortality. Donors on left ventricular assist devices could be considered extended criteria donors because of the mechanical circulatory support itself and the potential of chronic liver damage due to right ventricular failure, but experiences in the literature are limited. Here, we report the first case of an urgent liver retransplant procured from a left ventricular assist device donor.