Reuse of liver graft from a XXXX recipient.

@entity1 @entity82 @entity2657 @entity63 @entity879 @entity772 @entity1620 @entity157 @entity1443
BACKGROUND: @entity1620 in @entity879 ( @entity879 ) is a rare occurrence after successful orthotopic liver transplantation (OLT). Reuse of the liver graft may be considered. We report a successful OLT using such an organ in a 62-yr-old @entity1 with hematochromatosis-related @entity82 and @entity157 . METHODS: Liver donor was 56-yr-old @entity1 with normal liver function tests. First recipient was a 26-yr-old @entity1 with an @entity1443 -induced @entity879 . Before OLT, she developed progressive @entity772 without obvious @entity2657 on the cerebral CT-scan. The transplantation proceeded as planned and was uneventful. However, @entity1 exhibited bilateral non-reactive mydriasis during postoperative hours and was declared @entity1620 . Transplanted liver was functioning adequately. Its reuse was discussed with her family and the second recipient. After informed consent, the transplanted liver and heart were harvested. First and second liver cold @entity63 times were 10 h and 75 min, respectively. RESULTS: Second recipient recovered uneventful and discharged 23 d after OLT. Liver function is still normal 30 months after OLT without rejection or @entity157 recurrence. CONCLUSION: Even after OLT, @entity1620 remains possible in @entity879 . In absence of contraindications, reuse of transplanted liver allows for a rational use of already rare liver grafts.
