Massive hepatic artery atherosclerosis of an otherwise suitable donor liver: a case report

Transplantation Proceedings
D MalufR A Fisher

Abstract

Most of the few reports about hepatic artery disease found in the literature describe hepatic artery aneurysms or hepatic artery calcifications. Atherosclerosis of the hepatic artery is not commonly evaluated during deceased donor liver procurement. Herein we present a case of a stable 47-year-old Caucasian female donor whose liver function tests were within normal limits and a liver biopsy showed less than 5% steatosis. The liver when received at our center appeared grossly unremarkable. Back-table evaluation showed a complete occlusion of the trunk of the proper hepatic artery. The pathology report revealed hepatic occlusion due to arterial atherosclerosis. Transplantation was canceled, and the liver was used for isolated hepatocyte perfusion, revealing < 25% hepatocyte viability. Hepatic artery atherosclerosis and patency need to be evaluated at the time of procurement to prevent recipient morbidity due to anesthetic induction, or initiation of a recipient abdominal incision prior to declining the liver graft for this rare finding.

References

Jan 25, 2002·Journal of Clinical Ultrasound : JCU·Sucheta S Pai, Ronald O Bude

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Citations

Mar 31, 2009·Transplantation Proceedings·R M EiseleM Glanemann
Feb 2, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Fabrizio PanaroFrancis Navarro
Jun 28, 2020·Surgical and Radiologic Anatomy : SRA·Aysegul Firat

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