open access

Vol 44, No 3 (2012 Jul-Sep)
Case reports
Published online: 2012-10-22
Submitted: 2012-10-22
Accepted: 2012-10-22
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Liver procurement from a brain-dead kidney transplant recipient — a case report

Edyta Romatowska, Aleksandra Woderska, Krzysztof Kusza, Maciej Słupski, Małgorzata Neumann
Anaesthesiol Intensive Ther 2012;44(3):150-153.

open access

Vol 44, No 3 (2012 Jul-Sep)
Case reports
Published online: 2012-10-22
Submitted: 2012-10-22
Accepted: 2012-10-22

Abstract

The shortage of organ donors has led to new strategies to increase the availability of allografts for transplantation, such as organ procurement from brain-dead organ transplant recipients. We present the case of a 26 year-old male brain-dead liver donor who had been a kidney transplant recipient six years previously. The liver donor described in this report, as the first in Poland, has paved a new, although as yet narrow, way in the field of organ donation. This is also the first case described in the medical literature of liver recovery from a brain-dead kidney transplant recipient on an immunosuppressive regimen with three immunosuppressive agents. Although transplant recipients represent an uncommon group of deceased organ donors, it is probable that situations when they may be considered as potential organ donors will occur more often. Therefore, although specific criteria for organ donors exist, each reported potential donor should be considered individually, and brain-dead solid organ recipients should not be excluded a priori as organ donors; both their native and allografted organs may be recovered and successfully transplanted. In this study, we also review the current state of knowledge on the reuse of organs.

Abstract

The shortage of organ donors has led to new strategies to increase the availability of allografts for transplantation, such as organ procurement from brain-dead organ transplant recipients. We present the case of a 26 year-old male brain-dead liver donor who had been a kidney transplant recipient six years previously. The liver donor described in this report, as the first in Poland, has paved a new, although as yet narrow, way in the field of organ donation. This is also the first case described in the medical literature of liver recovery from a brain-dead kidney transplant recipient on an immunosuppressive regimen with three immunosuppressive agents. Although transplant recipients represent an uncommon group of deceased organ donors, it is probable that situations when they may be considered as potential organ donors will occur more often. Therefore, although specific criteria for organ donors exist, each reported potential donor should be considered individually, and brain-dead solid organ recipients should not be excluded a priori as organ donors; both their native and allografted organs may be recovered and successfully transplanted. In this study, we also review the current state of knowledge on the reuse of organs.

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Keywords

liver transplantation, brain-dead, renal transplant recipient, organ shortage

About this article
Title

Liver procurement from a brain-dead kidney transplant recipient — a case report

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 44, No 3 (2012 Jul-Sep)

Pages

150-153

Published online

2012-10-22

Bibliographic record

Anaesthesiol Intensive Ther 2012;44(3):150-153.

Keywords

liver transplantation
brain-dead
renal transplant recipient
organ shortage

Authors

Edyta Romatowska
Aleksandra Woderska
Krzysztof Kusza
Maciej Słupski
Małgorzata Neumann

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