Different approaches to liver transplantation in propionic acidemia patients.

We thank Rammohan et cols for the comment on our paper entitled "The Role of Liver Transplantation in Propionic Acidemia". As the authors highlight, the reported rates of Hepatic Arterial Thrombosis (HAT) in Propionic Acidemia (PA) patients that undergo Liver Transplantation (LT) are higher than in other indications of LT (1). As described in the paper, the rate of HAT in our series is 33% (2/6) similar to those reported by other groups (1-2). The overall incidence of HAT in the last 10 years in our centre for non-PA indications was 3.5% (4/113) (3.7% in whole liver graft transplantation (3/81) and 3.1% in living donor liver transplantation (LDLT) (1/32)). This article is protected by copyright. All rights reserved.