دورية أكاديمية

Early Graft Loss With Suspected Seventh-Day Syndrome Following Pediatric Liver Transplantation.

التفاصيل البيبلوغرافية
العنوان: Early Graft Loss With Suspected Seventh-Day Syndrome Following Pediatric Liver Transplantation.
المؤلفون: Hartjes K; Division of Gastroenterology, Hepatology, & Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA., Koo D; Department of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, Massachusetts, USA., Al-Ibraheemi A; Department of Pathology, Boston Children's Hospital, Boston, Massachusetts, USA., Sweeny KF; Division of Gastroenterology, Hepatology, & Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA., Wehrman A; Division of Gastroenterology, Hepatology, & Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA., Elisofon S; Division of Gastroenterology, Hepatology, & Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA., Lee CK; Division of Gastroenterology, Hepatology, & Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA., Cuenca AG; Department of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, Massachusetts, USA., Kim HB; Department of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, Massachusetts, USA., Lee EJ; Department of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, Massachusetts, USA.
المصدر: Pediatric transplantation [Pediatr Transplant] 2024 Aug; Vol. 28 (5), pp. e14818.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Munksgaard Country of Publication: Denmark NLM ID: 9802574 Publication Model: Print Cited Medium: Internet ISSN: 1399-3046 (Electronic) Linking ISSN: 13973142 NLM ISO Abbreviation: Pediatr Transplant Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Copenhagen ; Malden, MA : Munksgaard, c1997-
مواضيع طبية MeSH: Liver Transplantation*/adverse effects , Postoperative Complications*/etiology , Postoperative Complications*/therapy , Reoperation*, Humans ; Female ; Syndrome ; Retrospective Studies ; Graft Rejection/etiology ; Child ; Child, Preschool ; Graft Survival ; Primary Graft Dysfunction/etiology ; Primary Graft Dysfunction/diagnosis ; Infant
مستخلص: Introduction: Allograft dysfunction within the first week posttransplant is an uncommon but known complication following liver transplantation. Seventh-Day Syndrome (7DS) is a rare complication of allograft dysfunction following liver transplantation characterized by the rapid clinical deterioration of a formerly well-functioning allograft within the first week posttransplant. The etiology of 7DS is unknown, and treatment options remain limited. While cases of graft survival have been reported, the risk of mortality remains exceedingly high without urgent retransplantation.
Methods: Patient data was retrospectively analyzed and a literature review performed.
Results: We present a unique case of split liver transplantation into two pediatric recipients in which one recipient developed rapidly progressive graft failure approximately 1 week postoperatively requiring urgent retransplantation while the other recipient had an unremarkable postoperative course. Upon clinical manifestation of progressive graft failure, the patient was treated with thymoglobulin, rituximab, intravenous immunoglobulin, and plasmapheresis. Despite this, the patient's clinical status continued to decline and she underwent retransplantation 11 days following her initial liver transplant.
Conclusion: Seventh-Day Syndrome is a rare complication following liver transplantation that is associated with a high risk of morbidity and mortality. Our case adds to the limited literature on 7DS in children and is the first to report a comparative posttransplant clinical course in two recipients who received split grafts from the same donor.
(© 2024 Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: Seventh‐Day Syndrome; autoimmune hepatitis; liver transplantation; pediatric; transplant‐associated thrombotic microangiopathy
تواريخ الأحداث: Date Created: 20240628 Date Completed: 20240628 Latest Revision: 20240628
رمز التحديث: 20240628
DOI: 10.1111/petr.14818
PMID: 38940480
قاعدة البيانات: MEDLINE
الوصف
تدمد:1399-3046
DOI:10.1111/petr.14818