van den Hazel SJ, Metselaar HJ, Tilanus HW, IJzermans JN, Groenland THN, Visser L, de Man RA. Successful liver transplantation in a patient with sickle-cell anaemia.
Transpl Int 2003;
16:434-6. [PMID:
12819876 DOI:
10.1007/s00147-003-0567-5]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2002] [Revised: 10/15/2002] [Accepted: 11/11/2002] [Indexed: 12/13/2022]
Abstract
Liver transplantation in the setting of sickle-cell anaemia poses several new challenges to the transplant team. Hypoxaemia, acidosis and a decrease in body temperature are common occurrences that can cause sickling in the peri-operative period, putting the patient at risk of sickle-cell crises or graft dysfunction. We describe a patient with sickle-cell anaemia who successfully underwent transplantation, and we discuss the rationale of various precautions that had to be taken.
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