Abstract
An 8-month-old baby girl had undergone a Kasai procedure for biliary atresia at age 43 days. However, postoperative liver function continued to deteriorate, together with ascites, gastrointestinal bleeding, and delayed physical and mental development. At age 7 months, the patient was deemed a candidate for living donor liver transplantation (LDLT). Preoperative echocardiography showed a patent ductus arteriosus (PDA). Due to potential left ventricular volume overload and infectious endocarditis because of immunosuppression after liver transplantation, a decision was made to first close the PDA by interventional radiology.
Although the patient had a low body weight of 5100 g, there were no problems with coil insertion. Three weeks later, LDLT was performed with a hyper-reduced left lateral segment from the father as a donor. No postoperative infection occurred, and the patient was discharged 33 days after transplantation.
Liver transplantation in infants with a PDA has rarely been reported. This interesting case in which there has been no consensus regarding treatment strategy prior to liver transplantation is reported.
