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Late reuse of liver allografts from brain-dead graft recipients: The Munich experience and a review of the literature

✍ Scribed by Markus Rentsch; Jens Meyer; Joachim Andrassy; Carl-Ludwig Fischer-Fröhlich; Christan Rust; Susanna Mueller; Martin Angele; Florian Löhe; Karl-Walter Jauch; Christian Graeb


Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
76 KB
Volume
16
Category
Article
ISSN
1527-6465

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✦ Synopsis


The increasing donor organ shortage requires the consideration of any possible organ donor in order to meet the current demand. However, the growing number of long-term survivors of liver transplantation may create a situation in which former organ recipients may experience brain death with a functioning graft and therefore become organ donors themselves. Previous reports concerning this rare situation predominantly refer to the reuse of donor organs within the first 8 days after primary liver transplantation. So far, only a single case of late reuse of a donor liver has been published, with 2 additional cases mentioned in a summary of the United Network for Organ Sharing database. Here we report the case of a 43-yearold female donor who had received a liver graft for complications of Budd-Chiari syndrome 5 years before becoming an organ donor herself after cerebral infarction with consecutive brain death.