Hepatitis B immunoglobulin-induced hypercoagulability complicating liver transplantation necessitating ECMO, rescue hepatectomy, and retransplantation - 06/01/18
Doi : 10.1016/j.jclinane.2017.11.004
Paul N. Frank, MD a, ⁎ 
, Vivek V. Sharma, MD a, Avner Gereboff, MD a, Maha Guindi b, Irene K. Kim, MD c, Robert Kariger, MD a
, Vivek V. Sharma, MD a, Avner Gereboff, MD a, Maha Guindi b, Irene K. Kim, MD c, Robert Kariger, MD a a Department of Anesthesiology, Cedars-Sinai Medical Center, United States
b Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, United States
c Comprehensive Transplant Center, Cedars-Sinai Medical Center, United States
⁎Corresponding author at: Cedars Sinai Medical Center, Department of Anesthesiology, 8700 Beverly Blvd #8211, West Hollywood, CA 90048, United States.Cedars Sinai Medical CenterDepartment of Anesthesiology8700 Beverly Blvd #8211West HollywoodCA90048United States
Highlights |
• | A 55-year-old man underwent liver and kidney transplantation for HBV and CKD |
• | The liver and kidney grafts both failed acutely, pathology showed thrombosis |
• | He underwent hepatectomy while on VV ECMO and returned to the ICU anhepatic. |
• | He underwent repeat transplantation one day later, and he has been discharged home. |
• | Hypercoagulability suspected secondary to malignancy and HBIG administration. |
Keywords : Liver, Transplant, ECMO, Pulmonary embolism
Plan
© 2017
Publié par Elsevier Masson SAS.
Vol 44
P. 64-65 - février 2018 Retour au numéro
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