Rescue case of low birth weight infant with acute hepatic failure

Table 1 Problems and management for low birth weight infant with acute liver failure

	Problems	Management
Pre-LT	Low body weight Liver failure Donor	Enteral nutrition targeting to over 2500 g Apheresis (exchange transfusion, plasmapheresis) Informed consent
LT	Large-for-size graft syndrome Hepatic artery reconstruction Abdominal compartment syndrome	Monosegment graft Brunch patch, dorsal approach Skin closure Open management→secondary skin closure
Post-LT	Fluid overload Respiratory failure	Aggressive water removal using CHDF

CHDF: Continuous hemodiafiltration.