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Domino Liver Transplantation: Where are we Now?
Francesco Santopaolo1, Ilaria Lenci1, Alessandra Bosa1
1Unita Operativa di Epatologia, Policlinico Universitario di "Tor Vergata"; Viale Oxford 81, 00133 Rome, Italy.
Background:
Domino transplant occurs when a recipient explanted graft is used for a second recipient.
Introduction:
The first experience came from thoracic surgery by the observation that many patients during heart-lung transplantation actually showed a functional heart that could be employed in other subjects with a good result.
Results:
This concept was then extended to the field of liver transplantation. At present, some patients transplanted for an inborn metabolic disease may be considered as excellent domino liver donors.
Conclusion:
The results, limitations, clinical challenges and the donor and recipient features of domino liver transplantation are discussed in this manuscript.
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