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When Transplant is Not and Option

Unfortunately, not all people with severe liver illness are candidates for transplant. Possible barriers to liver transplantation include:

  • Active drug and/or alcohol abuse
  • Extensive cancer
  • Advanced heart or lung disease
  • An inability to follow medical instructions
  • Not enough social support
  • Uncontrolled or untreated psychiatric condition
  • Untreated Portopulmonary Syndrome, a condition in which liver cirrhosis causes high blood pressure in the right side of the heart and can lead to heart failure
  • Liver tumors that do not meet the Milan criteria (that is, are greater than 5 centimeters in diameter)
  • Other active illness(es) that would compromise the success of your transplant, such as infection, obesity, recent malignancy, and limited physical mobility without the likelihood for successful rehabilitation

Contact Information

Transplant Institute
Beth Israel Deaconess Medical Center
Lowry Medical Office Building, 7th Floor
110 Francis Street
Boston, MA 02215
617-632-9700