Living donor liver transplantation for a patient with renal failure

Hideki Ijichi, Mitsuo Shimada, Taketoshi Suehiro, Yuji Soejima, Yoshihiko Maehara, Makoto Nakamuta, Hajime Nawata

Research output: Contribution to journalArticlepeer-review

Abstract

Pretransplant renal failure is a well-known risk factor which adversely affects the prognosis after liver transplantation. We report a case with pretransplant renal failure and discuss the perioperative management of such patient. The patient was 62 year-old-woman who was diagnosed with end-stage liver disease due to primary biliary cirrhosis, for which living donor liver transplantation (LDLT) was indicated. Her pretransplant serum creatinine was 9.4 mg/dl due to combination of drug-induced (antibiotics) acute tubular necrosis and hepatorenal syndrome. The management of renal failure consisted of the avoidance of calcineurin inhibitor as an induction immunosuppression and the use of perioperative continuous hemodiafiltration (CHDF). The postoperative course of the patient was complicated with CMV pneumonia and acute rejection, however she recovered and discharged on 94 POD with well-preserved graft function and normal renal function without any adverse sequela. LDLT for patients with renal failure can be performed successfully by careful management.

Original languageEnglish
Pages (from-to)266-271
Number of pages6
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume93
Issue number12
Publication statusPublished - Dec 2002

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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