Enne Marcelo, Pacheco-Moreira Lucio Filgueiras, Cerqueira Alexandre, Balbi Elizabeth, Halpern Marcia, Luiz Pereira João, Santalucia Giuseppe, Gracia Josther, De Souza E Oliveira Flavia Goncalves Coelho, Paranhos Grace Kelly, Miecznikowski Rosalice, De Faria Lucio José Auler, Pereira Diaz André Rodrigo, Caroli Bottino Adriana, Manoel Martinho José
Clinical and Surgical Hepatology Program, Bonsucesso General Hospital, Public Health Assistance, Rio de Janeiro, Brazil.
Pediatr Transplant. 2004 Apr;8(2):189-91. doi: 10.1046/j.1399-3046.2003.00140.x.
The shortage of organ donors for low-weight liver transplant recipients, especially for small children, has led to the development of new surgical techniques to increase the donor pool. Almost all of these techniques use the left lateral segment (Couinaud's segments II and III), but even this graft could be too large for children under 10 kg. We report here the case of an 8-month-old boy, weighing 6.1 kg, who received a monosegmental graft (segment III) from his grandmother weighing 68 kg. The graft was reduced at the donor surgery, before clamping of the vessels. The donor was discharged on the fourth post-operative day; the recipient had an uneventful post-operative period and was discharged after 22 days.
