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. 2020 Aug 4;23(1):e13418. doi: 10.1111/tid.13418

Table 1.

Summary of cases with early postoperative COVID‐19

Case Age, sex, and BMI Liver Disease Comorbidities Donor data Surgical data Immunosuppression protocol COVID‐19 symptoms COVID‐19 treatment and outcome
1

69 y, female

BMI: 34.71 kg/m2

HCV

Downstaged HCC

MELD: 15

Child‐Pugh: A6

SAH

Coronariopathy

Pulmonary hypertension

Female, 45 y

BD: hemorrhagic stroke

GW: 1600 g

TST: 285 min

TIT: 585 min

WIT: 35 min

BBP: None

Basiliximab, tacrolimus, mycophenolate and intraoperative corticoid bolus and tampering

9th POD

Fever

Mild dyspnea

Diarrhea

OTI on 12th POD

Azithromycin

Death on 13th POD due to due to refractory shock and acidosis.

2

67 y, male

BMI: 32.81 kg/m2

NASH

α1‐antitripsin deficiency

MELD: 13

Child‐Pugh: B7

Hepatic encephalopathy

SHA

Obesity

Female, 22 y

BD: subarachnoid hemorrhage

21 d ICU

AST 156 UI/mL

ALT 296 UI/mL

GGT 584 mg/dL

GW: 1475 g

TST: 435 min

TIT: 445 min

WIT: 40 min

BBP: None

Basiliximab, tacrolimus, mycophenolate and intraoperative corticoid bolus and tampering

36th POD

Fever

Hypoactive Delirium

Progressive dyspnea

OTI on 37th POD

Azithromycin

Hydroxychloroquine

Death on 56th POD due to secondary bacterial infection

3

69 y, male

BMI: 27.58 kg/m2

Alcoholic cirrhosis

HCC

MELD: 13

Child‐Pugh: A6

SHA

DM

Male, 54 y

BD: cranioencephalic trauma

GW: 1370 g

TST: 425 min

TIT: 405 min

WIT: 35 min

BBP: None

Tacrolimus and intraoperative corticoids bolus with tampering

10th POD

Fever

watery diarrhea

dry cough

Mild exertional dyspnea

Venturi mask

Supportive care

Dyspnea worsened on 10th hospitalization day

Discharged home on 17th hospitalization day

4

59 y, male

BMI: 24.38 kg/m2

Cryptogenic cirrhosis

Ascites

Hepatic encephalopathy

MELD: 10

Child‐Pugh: B7

Hepatosplenic schistosomiasis

Female, 52 y

BD: hemorrhagic stroke

Presented cardiac arrest before organ recovery

GW: 1450 g

TST: 360 min

TIT: 460 min

WIT: 35 min

BBP: None

Tacrolimus, mycophenolate and intraoperative corticoid bolus and tampering. Received PMT for acute cellular rejection treatment

11st POD

Subfebrile temperature

dry cough

Supportive care

Discharged on 27th POD

5

34 y, male

BMI: 22.38 kg/m2

Sclerosing primary cholangitis

MELD: 35

Child B7

None

Female, 42 y

BD: ischemic stroke

GW: 1425 g

TST: 395 min

TIT: 360 min

WIT: 35 min

BBP: None

Tacrolimus and intraoperative corticoids bolus with tampering. Mycophenolate, PMT, anti‐thymocyte globulin were later used due to steroid‐resistant severe acute cellular rejection

18th POD: asymptomatic

24th POD:

Fever

Mild dyspnea

Supportive care

Needle thoracocentesis drainage of pleural effusion

Discharged home on 41st POD

Abbreviations: ALT, alanine aminotransferase; AST, aspartate aminotransferase; BBP, blood‐borne products; BD, brain death; BMI, body mass index; DM, diabetes mellitus; GGT, gamma‐glutamyl transferase; GW, graft weight; HCC, hepatocellular carcinoma; HCV, hepatitis C virus; ICU, intensive care unit; MELD, model of end‐stage liver disease; NASH, non‐alcoholic steatohepatitis; PMT, pulse methylprednisolone therapy POD, postoperative day; SHA, systemic artery hypertension; TIT, total ischemic time; TST, total surgery time; WIT, warm ischemic time.