Anesthetic management of a pregnant living related liver donor

Pregnancy is often considered a contraindication to living related liver donation. There are serious medical and ethical considerations if a pregnant woman insists on undergoing partial hepatectomy to save her sick child. Herein we report a case of living related liver donation from a pregnant woman...

Full description

Saved in:
Bibliographic Details
Published in:International journal of obstetric anesthesia 2006-04, Vol.15 (2), p.149-151
Main Authors: Chen, K.-H., Liu, C.-C., Yang, C.-H., Wang, C.-H., Concejero, A.M., Luk, H.-N., Jawan, B.
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia, General
Biliary Atresia - complications
Biliary Atresia - surgery
Child
Creatinine - metabolism
Directed Tissue Donation
Donor hepatectomy
Female
Hemodynamics
Hemoglobins - metabolism
Hepatectomy
Humans
Liver Cirrhosis, Biliary - etiology
Liver Cirrhosis, Biliary - surgery
Liver Transplantation
Living donor liver transplantation
Living Donors
Pregnancy
Pregnant donor
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pregnancy is often considered a contraindication to living related liver donation. There are serious medical and ethical considerations if a pregnant woman insists on undergoing partial hepatectomy to save her sick child. Herein we report a case of living related liver donation from a pregnant woman at 18 weeks of gestation to her 1-year-old child with decompensated cirrhosis due to biliary atresia. The left lateral segment of the liver was harvested for donation. Meticulous surgical technique and anesthetic management were mandatory in assuring a successful outcome. While this isolated case demonstrated that living related liver donation can be performed successfully with a pregnant donor, it should be undertaken only when there is absolutely no other donor and the recipient is in urgent need.
ISSN:0959-289X
1532-3374
DOI:10.1016/j.ijoa.2005.10.003