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Transplant saves a tiny life

 

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Adara Henriquez’s liver transplantation was the focus of much media attention. Watch the streaming video at
www.childrenshospital.org/chnews/media

t took nine months and a trip of nearly 3,000 miles, but in the end it was all worth it for tiny Adara Henriquez and her parents, Rodolfo and Martha. Adara was born last year in Panama City, Panama, with biliary atresia, a condition where an absence of bile ducts destroys the liver by preventing the body from ridding itself of toxins.

An operation in Panama to save Adara’s liver was unsuccessful, and the family quickly realized that the liver transplant needed to save her life was not available in their home country. So they began fundraising efforts to raise the $250,000 needed to bring Adara to Boston. When they got here, though, they found that she was too small and sick to have the transplant she needed, so Children’s nurses and physicians worked for three months to improve Adara’s condition. On March 11 she and her mother (who donated a piece of her liver to Adara) went into separate Children’s operating rooms for a difficult, two-part operation.

Heung Bae Kim, MD, assistant in Surgery, was part of team of surgeons from Children’s and the Lahey Clinic that performed the operations. He says the challenges didn’t end when Adara was well enough to undergo surgery. “She weighed only 10 pounds when we operated, making her one of the smallest babies we’ve ever transplanted,” says Kim. “And she had very small blood vessels compared to her mother. That’s what we were worried about the most. We told Adara’s parents that there was a 30 percent chance she wouldn’t live through the surgery.”

Adara did live, however, and the nine-hour procedure left both her and her mother in good health. The family will return to Panama when she is healthy enough to travel. She will have to take anti-rejection medication for the rest of her life, but for now, according to her proud father, Adara is smiling and moving around her crib, things she was unable to do before surgery. “It’s a gift from God,” says Rodolfo. “Now I can look to a future with her, and it makes me happy as a father to know that my child is going to live and be able to play with me.”MC

 

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