Anesthetic management of living donor liver transplantation for complement factor H deficiency hemolytic uremic syndrome: a case report.
10.4097/kjae.2014.66.6.481
- Author:
Suk Hee PARK
1
;
Gaab Soo KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gskim@skku.edu
- Publication Type:Case Report
- Keywords:
Complement factor H;
Hemolytic-uremic syndrome;
Liver transplantation
- MeSH:
Child, Preschool;
Complement Activation;
Complement Factor H*;
Complement System Proteins;
Female;
Hemolytic-Uremic Syndrome*;
Humans;
Liver Transplantation*;
Living Donors*;
Perioperative Period;
Plasma;
Plasma Exchange
- From:Korean Journal of Anesthesiology
2014;66(6):481-485
- CountryRepublic of Korea
- Language:English
-
Abstract:
We experienced a living donor liver transplantation for a 26-month-old girl with complement factor H deficiency. Complement factor H is a plasma protein that regulates the activity of the complement pathway. Complement overactivity induced by complement factor H deficiency is associated with atypical hemolytic uremic syndrome. Liver transplantation can be the proper treatment for this condition. During the liver transplantation of these patients, prevention of the complement overactivation is necessary. Minimizing complement activation, through the use of modalities such as plasma exchange before the surgery and transfusion of fresh frozen plasma throughout the entire perioperative period, may be the key for successful liver transplantation in these patients.
