A 61-year-old female affected by primary biliary cirrhosis was listed in our Center for deceased donor liver transplantation (DDLT). Her biochemical MELD score was 12 at the time of listing, but due to an intractable pruritis, she gained an exception point, increasing the MELD score to 15.
A few months after her listing, her 31-year-old son decided to be evaluated as a potential right hepatic lobe live donor. The live donor surgical procedure consisted of an open right hepatectomy (Couinaud segment 5–8) performed according to our technique described elsewhere The recipient surgery was a liver transplant performed with the piggyback technique and total veno-venous bypass. Modulation of the venous outflow was achieved with a right hepatic vein venoplasty, achieved by enlarging the ostium of the right hepatic vein into the inferior vena cava.
IRCCS-ISMETT – University of Pittsburgh Medical Center in Italy (UPMCI)