Temporary auxiliary liver transplantation for subacute liver failure in a child.

A 4-year-old boy with subacute liver failure due to hepatitis A virus underwent temporary auxiliary liver transplantation. The graft, an adult reduced liver, was implanted othotopically after a left hepatectomy had been carried out on the recipient's liver. Good liver function was immediately restored. The remaining native liver, which was 90% necrotic at the time of transplantation, regained normal histological features within 3 months. The auxiliary graft was then removed and immunosuppressive therapy stopped.

[Temporary auxiliary orthotopic transplantation of a reduced liver for fulminant hepatitis. A successful case in a child]. / Transplantation auxiliaire orthotopique transitoire d'un foie réduit pour hépatite fulminante. A propos d'un succès chez l'enfant.

A 4 years boy with fulminant hepatitis due to virus A, underwent a temporary auxiliary liver transplantation. The graft which consisted in an adult reduced-liver, was implanted orthotopically after a left hepatectomy was performed on the recipient own liver. A good liver function was immediately restituted and the remaining native liver, that was 90% necrotic at time of transplantation, regained normal histological structure within 3 months. The auxiliary graft was then removed and immunosuppressive therapy permanently stopped.