Deceased donor liver transplantation for post-hepatectomy liver failure with fixed pupils
- Author:
Sunghyo AN
1
;
Jongman KIM
;
Sungjun JO
;
Namkee OH
;
Eunmi GIL
;
Gaabsoo KIM
Author Information
- Publication Type:Case Report
- From: Annals of Liver Transplantation 2024;4(2):112-116
- CountryRepublic of Korea
- Language:English
- 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.
