Ann Liver Transplant.  2024 Nov;4(2):112-116. 10.52604/alt.24.0015.

Deceased donor liver transplantation for post-hepatectomy liver failure with fixed pupils

• An S
• Kim J
• Jo S
• Oh N
• Gil E
• Kim G

• KMID: 2561857
• DOI: http://doi.org/10.52604/alt.24.0015

Abstract

Deceased donor liver transplantation (DDLT) raises ethical and social questions about liver transplantation for patients who are not expected to live. Patients with post-hepatectomy liver failure must have DDLT as soon as possible. Here, we detail a particular dilemma that the transplant team had while deciding whether to harvest liver from a deceased donor in the face of the recipient’s non-reactive, fully dilated pupils while they awaited a liver transplant in the intensive care unit. Despite having fixed dilated pupils during the neurologic evaluation, the patient eventually had effective DDLT, indicating that DDLT should not be done unless there is obvious brain death.

Keyword

Liver failure; Postoperative complications; Esophageal and gastric varices; Tissue and organ procurement; Neurologic examination