Recurrent deep-vein thrombosis based on homozygous factor V Leiden mutation acquired after liver transplantation.
Standard
Recurrent deep-vein thrombosis based on homozygous factor V Leiden mutation acquired after liver transplantation. / Willems, Marc; Sterneck, Martina; Langer, Florian; Jung, Roman; Haddad, Munif; Hagel, Christian; Kuetemeier, Robert; Eifrig, Barbara; Broering, Dieter; Fischer, Lutz; Rogiers, Xavier.
in: LIVER TRANSPLANT, Jahrgang 9, Nr. 8, 8, 2003, S. 870-873.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Recurrent deep-vein thrombosis based on homozygous factor V Leiden mutation acquired after liver transplantation.
AU - Willems, Marc
AU - Sterneck, Martina
AU - Langer, Florian
AU - Jung, Roman
AU - Haddad, Munif
AU - Hagel, Christian
AU - Kuetemeier, Robert
AU - Eifrig, Barbara
AU - Broering, Dieter
AU - Fischer, Lutz
AU - Rogiers, Xavier
PY - 2003
Y1 - 2003
N2 - Several genetic liver diseases can be treated by liver transplantation (LT). However, some genetic defects also may be acquired by this procedure. We describe a patient who developed recurrent deep-vein thromboses after LT for hepatitis C virus-associated hepatocellular carcinoma on the basis of a homozygous Leiden mutation of the factor V gene in the donor liver. Liver donors with a history of venous thrombosis should be screened for the presence of activated protein C (APC) resistance. In addition, we recommend looking for APC resistance in liver recipients who develop venous thromboembolic disease in the post-LT course. Molecular analysis of donor tissue may be necessary to make a definite diagnosis of factor V Leiden mutation in these patients. As a consequence, intensified postoperative thromboprophylaxis or lifelong anticoagulant therapy may be necessary if this thrombophilic gene defect is detected.
AB - Several genetic liver diseases can be treated by liver transplantation (LT). However, some genetic defects also may be acquired by this procedure. We describe a patient who developed recurrent deep-vein thromboses after LT for hepatitis C virus-associated hepatocellular carcinoma on the basis of a homozygous Leiden mutation of the factor V gene in the donor liver. Liver donors with a history of venous thrombosis should be screened for the presence of activated protein C (APC) resistance. In addition, we recommend looking for APC resistance in liver recipients who develop venous thromboembolic disease in the post-LT course. Molecular analysis of donor tissue may be necessary to make a definite diagnosis of factor V Leiden mutation in these patients. As a consequence, intensified postoperative thromboprophylaxis or lifelong anticoagulant therapy may be necessary if this thrombophilic gene defect is detected.
M3 - SCORING: Zeitschriftenaufsatz
VL - 9
SP - 870
EP - 873
JO - LIVER TRANSPLANT
JF - LIVER TRANSPLANT
SN - 1527-6465
IS - 8
M1 - 8
ER -