title: Transplantation of en bloc kidneys from cardiac deceased small pediatric donors: 2 case reports and literature review.
abstract: OBJECTIVE
  To gain an insight into the transplantation with donor kidneys from extended criterion donation after cardiac death (DCD) and to improve the management during and after renal transplantation
  
  
  METHODS
  Renal transplantation in 2 patients who used organs from small pediatric donors (<3 years) was performed. The graft kidneys were procured from 1 donor aged 11 months and the other 1 year and 7 months. The 2 donors were diagnosed as brain death caused by serious infantile hepatitis syndrome and severe craniocerebral injury, respectively. After the cardiac death, en bloc organ resection was performed. En bloc kidneys were transplanted to 2 adult recipients who were 37 and 41 years old, respectively.
  
  
  RESULTS
  The recipients were followed-up for 6 months. Both of them developed large volume of bloody drainage in the early post-operational period and relieved after relevant treatment. The kidney grafts functioned well and no other surgical complications or acute rejections happened during the follow-up.
  
  
  CONCLUSIONS
  Based on modified peri-operative techniques, it is safe to perform renal transplantation with kidneys procured from cardiac death donors who are younger than 3 years old, an important source to increase the number of organs available for transplantation, yet the vascular complications require attention.
authors.affiliation: Department of Urological Organ Transplantation, Center of Organ Transplantation, Second Xiangya Hospital, Central South University, Changsha 410011, China.
authors.forename: Fenghua
authors.initials: F
authors.lastname: Peng
authors.forename: Shaojie
authors.initials: S
authors.lastname: Yu
authors.forename: Longkai
authors.initials: L
authors.lastname: Peng
authors.forename: Xubiao
authors.initials: X
authors.lastname: Xie
authors.forename: Chen
authors.initials: C
authors.lastname: Gao
authors.forename: Liang
authors.initials: L
authors.lastname: Tan
authors.forename: Helong
authors.initials: H
authors.lastname: Dai
authors.forename: Yong
authors.initials: Y
authors.lastname: Guo
authors.forename: Gongbin
authors.initials: G
authors.lastname: Lan
authors.forename: Yu
authors.initials: Y
authors.lastname: Wang
authors.forename: Xiaotian
authors.initials: X
authors.lastname: Tang
authors.forename: Chunhua
authors.initials: C
authors.lastname: Fang
authors.forename: Manhua
authors.initials: M
authors.lastname: Nie
mesh_terms: D000328:Adult; D006085:Graft Survival; D006801:Humans; D007223:Infant; D007668:Kidney; D016030:Kidney Transplantation; D011184:Postoperative Period; D014019:Tissue Donors