The patient is a young boy, less than 2 years of age, with end-stage liver disease secondary to glycogen storage disease, type IV, treated with liver transplantation. The liver segment allograft came from a living closely-related donor. Clinical History The patient was transferred to the institution from an outside hospital for liver transplant evaluation. The time between admission and transplantation was complicated by aspiration pneumonia, septic shock, and multi-organ system failure requiring continuous renal replacement therapy and plasma exchange.
A close relative elected to be a living related donor for his liver transplantation. The patient's and relative's ABO testing are displayed in Image 1. Use of an ABO minor-mismatch allograft was deemed acceptable considering the patient's poor clinical condition. During the procedure, the patient received 3 liters of fluid, including…
