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Successful outcome after early combined liver and en bloc-kidney transplant in an infant with primary hyperoxaluria type 1: A case report
Pediatric transplantation
  • Thomas Heffron
  • John Rodriguez
  • Carlos G. Fasola
  • Katherine Casper
  • Todd Pillen
  • Gregory Smallwood, Philadelphia College of Osteopathic Medicine
  • Barry Warshaw
  • Rene Romero
Document Type
Article
Publication Date
1-1-2009
Abstract
PH1 is a metabolic disorder characterized by urolithiasis and the accumulation of oxalate crystals in the kidneys and other organs. Although patients often first present with renal failure, PH1 results from a deficiency of the hepatic peroxisomal enzyme AGT. Ultimately only liver transplantation will cure the underlying metabolic defect. Herein, we report the case of a three-month-old male infant diagnosed with PH and treated using a combined liver and en bloc-kidney transplant from a single donor. At the time of transplant, the patient was 11 months old and weighed 7.9 kg. He received a full size liver graft and en bloc kidneys from a two-yr-old donor. At 36 months post-transplant, the patient is steadily growing with normal renal and hepatic function. This is one of the first reports of successful liver and en bloc-kidney transplantation with abdominal compartment expansion by PTFE for the infantile form of PH1 in a high risk child before one yr of age. Prompt diagnosis and early referral to a specialized center for liver and kidney replacement offer the best chance for survival for infants with this otherwise fatal disease. © 2009 John Wiley & Sons A/S.
Comments

This article was published in Pediatric transplantation, Volume 13, Issue 7, Pages 940-942.

The published version is available at http://dx.doi.org/10.1111/j.1399-3046.2009.01189.x.

Copyright © 2009 Wiley.

Citation Information
Thomas Heffron, John Rodriguez, Carlos G. Fasola, Katherine Casper, et al.. "Successful outcome after early combined liver and en bloc-kidney transplant in an infant with primary hyperoxaluria type 1: A case report" Pediatric transplantation Vol. 13 Iss. 7 (2009) p. 940 - 942
Available at: http://works.bepress.com/gregory_smallwood/40/