Clinical Orthotopic and Auxiliary Liver Transplantation

Hemodynamic changes in clinical orthotopic liver transplantation.

Cardiac output (with cardiogreen dye dilution), heart rate, stroke volume, mean arterial pressure, and central venous pressure (SVC) were measured': I) following induction of anesthesia while the abdomen was being opened, 2) during mobilization of the recipient'S liver, 3) shortly following cross-clamping the inferior vena cava and portal vein (early anhepatic phase), 4) just prior to revascula...

Clinical considerations in orthotopic liver transplantation.

Progress in immunosuppression, surgical techniques, and perioperative care has promoted orthotopic liver transplantation from an experimental procedure to an accepted clinical treatment. Orthotopic liver transplantation, in turn, has changed the treatment of terminal liver disease from care that is largely treatment of symptoms and support to cure, but at the price of major surgery and life-lon...

Orthotopic Liver Transplantation

Orthotopic Liver Transplantation

A 7-year-old girl with progressive ataxia, spasticity, supranuclear ophthalmoplegia, and sea-blue histiocytes in her bone marrow underwent orthotopic liver transplantation for hepatocellular carcinoma. After an initial period of stabilization, she has shown progression of neurologic symptoms with recurrence of storage material in the transplanted liver. Pediatrics 1986;77:104-106; lipidosis, se...

Pseudoaneurysms following orthotopic liver transplantation: clinical and radiologic manifestations.

A PSEUDOANEURYSM (PA) is an uncommon complication after orthotopic liver transplantation (OL T) .1 Because of the potential for rupture, early detection and treatment are crucial to patient survival. PAs usually occur at arteri a l anastomoses, often because of infection. Rarely they may occur following needle biopsy or transhepatic catheter insertion. Since PAs may be asymptomatic, they are of...