Table 1.
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.