Table 8.
Cause of graft failure | Entry diagnosis |
|||||
---|---|---|---|---|---|---|
ACR | CR | CR/hep. | Hep. | Other | Total | |
Acute rejection | 0 | 0 | 0 | 0 | 0 | 0 |
Chronic rejection | 1 | 7 | 2 | 0 | 0 | 10 |
Hepatitis | 0 | 0 | 1 | 1 | 0 | 2 |
Biliary tract problem | 0 | 2a | 0 | 0 | 0 | 2 |
Hepatic artery thrombosis | 0 | 1b | 0 | 0 | 0 | 1 |
Other | 0 | 1c | 1d | 0 | 1e | 3 |
Totals | 1 | 11 | 4 | 1 | 1 | 18 |
Examination of the failed graft revealed biliary sludge in the deep hilar region and focal duct loss without arteriopathy.
The patient initially responded to FK506, but the graft failed because of thrombosis at the arterial suture line.
The cause of failure is uncertain. Severe sclerosis of terminal hepatic venules and early cirrhosis were found in the failed graft.
There was severe atherosclerosis of arterial graft and hepatitis.
There was a mistaken pathologic diagnosis; a portal vein-bile duct fistula was found in failed graft that was missed on pre-FK biopsy.