Abstract
Biliary atresia is a congenital disease characterized by a progressive course with the lesion of primarily extrahepatic bile ducts leading to the development of cholestasis. Treatment consists in performing an operative intervention such as, Kasai portoenterostomy, or liver transplantation. This clinical case shows the experience of left lobe living donor liver transplantation in child, who underwent complicated portoenterstomy in young years. In case of AB0-compatible donors is absence, the AB0-incompatible living donor can become useful opportunity for urgent recipient. Endovascular embolization of the branches of the splenic artery can become a «bridge» to AB0-incompatible liver transplantation.
Highlights
Biliary atresia is a congenital disease characterized by a progressive course with the lesion of primarily extrahepatic bile ducts leading to the development of cholestasis
Treatment consists in performing an operative intervention such as, Kasai portoenterostomy, or liver transplantation
This clinical case shows the experience of left lobe living donor liver transplantation in child, who underwent complicated portoenterstomy in young years
Summary
Treatment consists in performing an operative intervention such as, Kasai portoenterostomy, or liver transplantation. This clinical case shows the experience of left lobe living donor liver transplantation in child, who underwent complicated portoenterstomy in young years. Данный тип атрезии встречается с частотой 1:8000– 1:15000 и является наиболее распространенным показанием к трансплантации печени у детей [1]. Ввиду дефицита донорских органов родственная трансплантация печени давно зарекомендовала себя как эффективный метод помощи. На современном этапе развития трансплантологии стало возможным использование не только АВ0-идентичных, но и не совместимых по системе АВ0 доноров. При выявлении показаний к трансплантации и отсутствии АВ0-совместимых доноров использование АВ0несовместимых доноров может стать реальной, а иногда и единственной возможностью для спасения пациента [2, 11]
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