Abstract
Background: The long-term shortage of livers available for transplantation has led to the development of new strategies to expand the donor organ supply. In sequential or domino strategy, an explanted liver from a patient with metabolic disease (e.g. Familial Amyloid Polyneuropathy (FAP)) is used as a donor graft in another patient. We went one step further by transplanting this same graft into a second recipient, meaning that a metabolic diseased liver can have a third life.
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