Extended survival by urgent liver retransplantation after using a first graft with metastasis from initially unrecognized donor sarcoma.
A 58-year-old man underwent orthotopic liver transplantation for polycystic liver disease. Shortly after the procedure, it was discovered that the donor harbored a sarcoma of the aortic arch that had metastasized to the spleen, and bilateral renal cell carcinomas. The two sole organ recipients, our liver recipient and a lung recipient at another institution, were both listed for urgent retransplantation, which they received from the same second donor. The liver explant contained metastatic sarcoma. Twenty-four months survival following lung retransplantation has been previously reported. We report the 76-month disease-free survival in the liver recipient.
Ortiz
Jorge A
JA
Liver Transplantation Program, Department of Surgery, Albert Einstein Medical Center, Phiadelphia, PA, USA.
Manzarbeitia
Cosme
C
Noto
Khristian A
KA
Rothstein
Kenneth D
KD
Araya
Victor A
VA
Munoz
Santiago J
SJ
Reich
David J
DJ
D001018:Aortic Diseases / Q000473:pathology; D002292:Carcinoma, Renal Cell / Q000473:pathology; D018572:Disease-Free Survival; D004632:Emergency Medical Services; D006085:Graft Survival; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000473:pathology; D012086:Reoperation; D012509:Sarcoma / Q000473:pathology / Q000556:secondary*; D013160:Splenic Neoplasms / Q000473:pathology / Q000556:secondary; D014019:Tissue Donors