Sample from the liver at time of auxiliary transplant shows extensive necrosis in zone 2 and 3 (mid-zonal and central, center of photo to right lower) with focal involvement of zone 1 (periportal, upper left). This view shows some viable periportal hepatocytes. Congestion of the necrotic zones is also present (center) (hematoxylin and eosin, 50X).
A, Nuclear hepatobiliary scan obtained 5 days after A-OLTX reveals equal functioning of the native liver (on the left) and grafted liver (on the right) with visualization of the biliary tree and gallbladder by 20 minutes. B, Nuclear hepatobiliary scan obtained 8 days after A-OLTX reveals the native liver has improved function with excretion of tracer into the intestine by 10 minutes but the grafted liver has negligible function.