A Case of Fulminant Hepatic Failure Secondary to Non-thrombotic Graft Infarction After Living Related Liver Transplantation / 대한이식학회지

Non-thrombotic graft infarction of the liver following orthotopic liver transplantation(OLT) occurs infrequently during an otherwise uneventful recovery 1 week after OLT. The typical clinical presentation is an uneventful initial postoperative recovery, followed by sudden deterioration of allograft function in the absence of vascular thrombosis with rapid progression to graft failure. The characteristic pathological change is massive hemorrhagic necrosis with only mild portal tract inflammation. The pathogenesis and definite etiologies were until not clear. Recently we experienced non-thrombotic graft infarction on the 8th day after liver transplantation from a 51-year-old living donor to his 17-year-old daughter.