ABSTRACT

Several recent reports have shown that end-stage liver disease is the leading cause of death among HIV-infected persons in the highly active antiretroviral therapy (HAART) era. Until a few years ago, HIV infection was an exclusion criteria for organ transplantation. One major concern was that administering iatrogenic immunosuppression to an already im­ munocompromised individual would lead to an increased risk of opportunistic infections and acceleration of HIV-related disease. However, more recently, because of the significant increase in life expectancy of HIV-infected persons treated with HAART, liver, kidney, kidney-pancreas, heart and lung transplantation have been introduced in this patients population in several centers around the world.