Diagnostic dilemma of coagulation problems in an HIV-positive patient with end-stage liver disease undergoing liver transplantation.

World J Transplant

Ali Abdullah, Department of Anesthesiology and Critical Care Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, United States.

Published: March 2015

Human immunodeficiency virus (HIV) may result in devastating multi-organ complications, including cirrhosis. Consequently, liver transplantation is often required for these patients. We report a case of a 43-year-old female with cryptogenic cirrhosis and HIV on highly active antiretroviral therapy, presenting for non-related living donor liver transplantation. The intra-operative course was complicated by hepatic artery and portal vein thrombosis, requiring thrombectomy. On postoperative day-3, the patient required re-transplantation with a cadaveric donor organ due to primary graft failure.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4371160PMC
http://dx.doi.org/10.5500/wjt.v5.i1.34DOI Listing

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