title: Extended survival by urgent liver retransplantation after using a first graft with metastasis from initially unrecognized donor sarcoma.
abstract: 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.
authors.affiliation: Liver Transplantation Program, Department of Surgery, Albert Einstein Medical Center, Phiadelphia, PA, USA.
authors.forename: Jorge A
authors.initials: JA
authors.lastname: Ortiz
authors.forename: Cosme
authors.initials: C
authors.lastname: Manzarbeitia
authors.forename: Khristian A
authors.initials: KA
authors.lastname: Noto
authors.forename: Kenneth D
authors.initials: KD
authors.lastname: Rothstein
authors.forename: Victor A
authors.initials: VA
authors.lastname: Araya
authors.forename: Santiago J
authors.initials: SJ
authors.lastname: Munoz
authors.forename: David J
authors.initials: DJ
authors.lastname: Reich
mesh_terms: 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