Successful liver and kidneys transplant following aortic dissection and subclavian artery rupture: A case report

Abstract

Introduction and importance: Despite the increasing number of liver and kidney transplants, the number of patients awaiting for a proper donor is still exceeding. Therefore, the preservation of donor organs is critically advocated.

Case presentation: Herein, we presented a successful liver and kidney transplant from a brain-dead donor who was found preoperatively to have simultaneous aortic dissection and intramural hematoma and additionally developed left subclavian artery dissection and perforation, which was noticed following sternotomy.

Clinical discussion: This case experience highlights the key role of cardiac surgeons in preserving visceral organs by rapid repair of the dissection and perforation sites of the aorta and its branches which culminate in lifesaving organ donation.

Conclusion: This case report introduces the first case of a successful; liver and kidneys transplant in a patient with concurrent aortic dissection and subclavian artery rupture which served as a lifesaving donor.

Keywords: Aortic dissection; Kidney transplant; Liver transplant; Subclavian artery rupture; Transplantation.