End-stage liver and
kidney disease (ELKD) is an indication for deceased donor simultaneous liver-
kidney transplantation. Although a few cases of living donor liver-
kidney transplantation have been reported, the invasiveness remains to be discussed. Living donor
liver transplantation (LDLT) is an alternative choice for ELKD, but has never been reported. Here, we report a case of successful LDLT for a patient with ELKD on
hemodialysis. The patient was a 63-year-old male and had decompensated
hepatitis C cirrhosis with seronegativity for hepatitis C virus. He had non-diabetic
end-stage renal failure and had been on
hemodialysis for 3 years. He was in good general condition except for hepatic and
renal failure. The living donor was his 58-year-old healthy wife. A right lobe graft was transplanted to the recipient under continuous
hemodiafiltration (CHDF) and extracorporeal veno-venous bypass. CHDF was continued until postoperative day 4, at which point CHDF was converted to
hemodialysis. His posttransplant course was good and he was discharged on postoperative day 36. To the best of our knowledge, this is the first report of LDLT for a patient on chronic
hemodialysis. Therefore, being on
hemodialysis is not a
contraindication for LDLT. LDLT is feasible for a patient with ELKD on
hemodialysis.