'Domino' liver transplantation combined with multivisceral transplantation

A. G. Tzakis, J. R. Nery, J. B. Raskin, D. Weppler, M. F. Khan, G. P. Fragulidis, P. Ruiz and K. R. Reddy
Department of Surgery, University of Miami, Fla, USA.

Transplantation of the liver contemporaneously with another organ from the same donor is thought to confer an immunologic advantage. The latter is particularly desirable in intestinal transplantation because of the propensity of the intestinal graft to early and late rejections and because in some cases it may facilitate the operation. In clinical practice, shortage of liver grafts constrains liver transplantation to cases in which there is coexisting end stage liver disease.