Liver Transplantation for Biliary Atresia in Adulthood: Single-Centre Surgical Experience.
Miriam CortesChristina BoumpourekaNoel CassarDeepak JoshiMarianne SamynMichael HeneghanKrishna MenonAndreas PrachaliasParthi SrinivasanWayel JassemHector Vilca-MelendezAnil DhawanNigel D HeatonPublished in: Journal of clinical medicine (2021)
Thirty-four patients who underwent LT for BA fulfilled the inclusion criteria, at a median age of 24 years. The main indicators for LT were synthetic failure and recurrent cholangitis. In total, 57.6% had significant enlargement of the SA, 21% had multiple SA aneurysm, and SPSS was present in 72.7% of the patients. Graft and patient survival at 1, 5, and 10 years was 97.1%, 91.2%, 91.2% and 100%, 94%, 94%, respectively Conclusions: Good outcomes after LT for BA in young patients can be achieved with careful donor selection and surgery to minimise the risk of complications. Identification of anatomical variants and shunting are helpful in guiding attitude at the time of transplant.