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Review Transfusion-transmitted infectious diseases. 2009
Allain JP, Stramer SL, Carneiro-Proietti AB, Martins ML, Lopes da Silva SN, Ribeiro M, Proietti FA, Reesink HW. · Dept. of Haematology, University of Cambridge, Cambridge, UK. · Biologicals. · Pubmed #19231236 No free full text.
Abstract: A spectrum of blood-borne infectious agents is transmitted through transfusion of infected blood donated by apparently healthy and asymptomatic blood donors. The diversity of infectious agents includes hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency viruses (HIV-1/2), human T-cell lymphotropic viruses (HTLV-I/II), Cytomegalovirus (CMV), Parvovirus B19, West Nile Virus (WNV), Dengue virus, trypanosomiasis, malaria, and variant CJD. Several strategies are implemented to reduce the risk of transmitting these infectious agents by donor exclusion for clinical history of risk factors, screening for the serological markers of infections, and nucleic acid testing (NAT) by viral gene amplification for direct and sensitive detection of the known infectious agents. Consequently, transfusions are safer now than ever before and we have learnt how to mitigate risks of emerging infectious diseases such as West Nile, Chikungunya, and Dengue viruses.
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Article Use of the breast implant for liver graft malposition. 1999
Mera S, Santoyo J, Suárez MA, Bondía JA, Cabello AJ, Jiménez M, Ribeiro M, Fernández-Aguilar JL, Pérez-Daga JA, de La Fuente A. · Department of General and Digestive Surgery, Unit of Hepato-pancreato-biliary Surgery and Liver Transplantation, Carlos Haya Regional University Hospital, Málaga, Spain. · Liver Transpl Surg. · Pubmed #10545544 No free full text.
Abstract: Transplantation of a small liver into a large patient may cause problems with correct reperfusion of the graft because of torsion of the hepatic pedicle, leading to malfunction of the transplanted organ. We describe the case of a 60-year-old man with alcoholic cirrhosis and hepatitis B virus who received a small-sized liver graft. Owing to the lack of adequate reperfusion of the transplanted organ arising from pedicular kinking caused by disparate sizes, a breast implant was placed behind the graft as a means of support, thereby resolving the problem. The use of prosthetic materials for the correct placement of grafts with size incongruity is also discussed, and the literature is reviewed.
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