ORTHOTOPIC LIVER TRANSPLANTATION FOR VENO-OCCLUSIVE DISEASE COMPLICATING AUTOLOGOUS BONE MARROW TRANSPLANTATION
作者:
Norris1,2 Suzanne,
Crosbie1 Orla,
McEntee1 Gerry,
Traynor1 Oscar,
Nolan3 Niamh,
McCann4 Sean,
Hegarty1 John,
期刊:
Transplantation
(OVID Available online 1997)
卷期:
Volume 63,
issue 10
页码: 1521-1524
ISSN:0041-1337
年代: 1997
出版商: OVID
数据来源: OVID
摘要:
Background.Veno-occlusive disease of the liver is a serious and often life-threatening complication after bone marrow transplantation. Although risk factors for the development of veno-occlusive disease have been postulated, there is no precise method for accurately identifying those patients who are at risk and for whom early intervention and treatment would have maximum potential benefit. Liver transplantation has been advocated as a treatment for veno-occlusive disease in selected patients.Methods.In this report, we describe a patient who underwent liver transplantation for life-threatening veno-occlusive disease after autologous bone marrow transplantation for acute lymphoblastic leukemia.Results.Liver engraftment was achieved, but the patient developed Pneumocystis pneumonia, which failed to respond to pentamidine. The patient died 6 months after liver transplantation.Conclusions.While acknowledging the limited experience of orthotropic liver transplantation in this patient population, we suggest its consideration as a feasible, potentially beneficial treatment option in patients with severe veno-occlusive disease after bone marrow transplantation.
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