Skip to main content
Top
Published in: Pediatric Radiology 8/2016

01-07-2016 | Pictorial Essay

Postoperative imaging findings in children with auxiliary partial orthotopic liver transplant (APOLT)

Authors: Rama S. Ayyala, Mercedes Martinez, Steven J. Lobritto, Tomoaki Kato, Carrie Ruzal-Shapiro

Published in: Pediatric Radiology | Issue 8/2016

Login to get access

Abstract

Auxiliary partial orthotopic liver transplant (APOLT) is a treatment technique for people who have acute hepatic failure secondary to fulminant hepatic failure and might ultimately recover normal liver function. This surgical procedure is complicated, involving the placement of a liver graft while maintaining viability of the remaining native portion of the liver. This method allows the native liver to recover hepatic function, therefore eliminating the need for long-term immunosuppression, as is typically needed in post-transplant settings. Postoperative imaging in these cases can be challenging given the complex anatomy, specifically the vascular anastomosis. Therefore it is important for radiologists and clinicians to be aware of the anatomy as well as the variable imaging appearances of the liver. We review the imaging findings in children who have undergone auxiliary partial orthotopic liver transplant (APOLT).
Literature
1.
go back to reference Squires RH Jr, Shneider BL, Bucuvalas J et al (2006) Acute liver failure in children: the first 348 patients in the pediatric acute liver failure study group. J Pediatr 148:652–658CrossRefPubMedPubMedCentral Squires RH Jr, Shneider BL, Bucuvalas J et al (2006) Acute liver failure in children: the first 348 patients in the pediatric acute liver failure study group. J Pediatr 148:652–658CrossRefPubMedPubMedCentral
2.
go back to reference Karvountzis GG, Redeker AG, Peters RL (1974) Long term follow-up studies of patients surviving fluminant viral hepatitis. Gastroenterology 67:870–877PubMed Karvountzis GG, Redeker AG, Peters RL (1974) Long term follow-up studies of patients surviving fluminant viral hepatitis. Gastroenterology 67:870–877PubMed
3.
go back to reference Horney JT, Galambos JT (1977) The liver during and after fulminant hepatitis. Gastroenterology 73:639–645PubMed Horney JT, Galambos JT (1977) The liver during and after fulminant hepatitis. Gastroenterology 73:639–645PubMed
4.
go back to reference Rela M, Muiesan P, Vilca-Melendez H et al (1999) Auxiliary partial orthotopic liver transplantation for Crigler-Najjar syndrome type I. Ann Surg 229:565–569CrossRefPubMedPubMedCentral Rela M, Muiesan P, Vilca-Melendez H et al (1999) Auxiliary partial orthotopic liver transplantation for Crigler-Najjar syndrome type I. Ann Surg 229:565–569CrossRefPubMedPubMedCentral
5.
go back to reference Broelsch CE, Emond JC, Whitington PF et al (1990) Application of reduced-size liver transplants as split grafts, auxiliary orthotopic grafts, and living related segmental transplants. Ann Surg 212:368–375CrossRefPubMedPubMedCentral Broelsch CE, Emond JC, Whitington PF et al (1990) Application of reduced-size liver transplants as split grafts, auxiliary orthotopic grafts, and living related segmental transplants. Ann Surg 212:368–375CrossRefPubMedPubMedCentral
7.
go back to reference De Jonge J, Madern GC, Terpstra OT et al (1999) Directing portal flow is essential for graft survival in auxiliary partial heterotopic liver transplantation in the dog. J Pediatr Surg 34:1265–1268CrossRefPubMed De Jonge J, Madern GC, Terpstra OT et al (1999) Directing portal flow is essential for graft survival in auxiliary partial heterotopic liver transplantation in the dog. J Pediatr Surg 34:1265–1268CrossRefPubMed
8.
go back to reference Starzl TE, Porter KA, Brettschneider L et al (1969) Clinical and pathologic observations after orthotopic transplantation of the human liver. Surg Gynecol Obstet 128:327–339PubMedPubMedCentral Starzl TE, Porter KA, Brettschneider L et al (1969) Clinical and pathologic observations after orthotopic transplantation of the human liver. Surg Gynecol Obstet 128:327–339PubMedPubMedCentral
9.
go back to reference Rodeck B, Kardorff R, Melter M et al (1999) Auxiliary partial orthotopic liver transplantation for acute liver failure in two children. Pediatr Transplant 3:328–332CrossRefPubMed Rodeck B, Kardorff R, Melter M et al (1999) Auxiliary partial orthotopic liver transplantation for acute liver failure in two children. Pediatr Transplant 3:328–332CrossRefPubMed
10.
go back to reference Bismuth H, Azoulay D, Samuel D et al (1996) Auxiliary partial orthotopic liver transplantation for fulminant hepatitis. The Paul Brousse experience. Ann Surg 224:712–724CrossRefPubMedPubMedCentral Bismuth H, Azoulay D, Samuel D et al (1996) Auxiliary partial orthotopic liver transplantation for fulminant hepatitis. The Paul Brousse experience. Ann Surg 224:712–724CrossRefPubMedPubMedCentral
11.
go back to reference Rosenthal P, Roberts JP, Ascher NL et al (1997) Auxiliary liver transplant in fulminant failure. Pediatrics 100:E10CrossRefPubMed Rosenthal P, Roberts JP, Ascher NL et al (1997) Auxiliary liver transplant in fulminant failure. Pediatrics 100:E10CrossRefPubMed
12.
go back to reference Azoulay D, Samuel D, Ichai P et al (2001) Auxiliary partial orthotopic versus standard orthotopic whole liver transplantation for acute liver failure: a reappraisal from a single center by a case-control study. Ann Surg 234:723–731CrossRefPubMedPubMedCentral Azoulay D, Samuel D, Ichai P et al (2001) Auxiliary partial orthotopic versus standard orthotopic whole liver transplantation for acute liver failure: a reappraisal from a single center by a case-control study. Ann Surg 234:723–731CrossRefPubMedPubMedCentral
13.
go back to reference Pereira SP, McCarthy M, Ellis AJ et al (1997) Auxiliary partial orthotopic liver transplantation for acute liver failure. J Hepatol 26:1010–1017CrossRefPubMed Pereira SP, McCarthy M, Ellis AJ et al (1997) Auxiliary partial orthotopic liver transplantation for acute liver failure. J Hepatol 26:1010–1017CrossRefPubMed
14.
go back to reference Kobayashi T, Sato Y, Yamamoto S et al (2009) Feasibility of auxiliary partial living donor liver transplantation for fulminant hepatic failure as an aid for small-for-size graft: single center experience. Transplant Proc 41:262–264CrossRefPubMed Kobayashi T, Sato Y, Yamamoto S et al (2009) Feasibility of auxiliary partial living donor liver transplantation for fulminant hepatic failure as an aid for small-for-size graft: single center experience. Transplant Proc 41:262–264CrossRefPubMed
15.
go back to reference Kobayashi T, Sato Y, Yamamoto S et al (2010) Auxiliary partial orthotopic living donor liver transplantation for fulminant hepatic failure with flat electroencephalogram: a case report. Transplant Proc 42:990–993CrossRefPubMed Kobayashi T, Sato Y, Yamamoto S et al (2010) Auxiliary partial orthotopic living donor liver transplantation for fulminant hepatic failure with flat electroencephalogram: a case report. Transplant Proc 42:990–993CrossRefPubMed
16.
go back to reference Faraj W, Dar F, Bartlett A et al (2010) Auxiliary liver transplantation for acute liver failure in children. Ann Surg 251:351–356CrossRefPubMed Faraj W, Dar F, Bartlett A et al (2010) Auxiliary liver transplantation for acute liver failure in children. Ann Surg 251:351–356CrossRefPubMed
17.
go back to reference Kato T, Selvaggi G, Levi D et al (2006) Routine use of auxiliary partial orthotopic liver transplantation for children with fulminant hepatic failure: preliminary report. Transplant Proc 38:3607–3608CrossRefPubMed Kato T, Selvaggi G, Levi D et al (2006) Routine use of auxiliary partial orthotopic liver transplantation for children with fulminant hepatic failure: preliminary report. Transplant Proc 38:3607–3608CrossRefPubMed
18.
go back to reference Otte JB (1999) Auxiliary partial orthotopic liver transplantation for acute liver failure in children. Pediatr Transplant 3:252–256CrossRefPubMed Otte JB (1999) Auxiliary partial orthotopic liver transplantation for acute liver failure in children. Pediatr Transplant 3:252–256CrossRefPubMed
19.
go back to reference Shaw BW Jr (1995) Auxiliary liver transplantation for acute liver failure. Liver Transpl Surg 1:194–200CrossRefPubMed Shaw BW Jr (1995) Auxiliary liver transplantation for acute liver failure. Liver Transpl Surg 1:194–200CrossRefPubMed
Metadata
Title
Postoperative imaging findings in children with auxiliary partial orthotopic liver transplant (APOLT)
Authors
Rama S. Ayyala
Mercedes Martinez
Steven J. Lobritto
Tomoaki Kato
Carrie Ruzal-Shapiro
Publication date
01-07-2016
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 8/2016
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-016-3541-y

Other articles of this Issue 8/2016

Pediatric Radiology 8/2016 Go to the issue