Successful Kidney Transplant Despite Microthrombi From a Deceased Donor With Heparin Induced Thrombocytopenia

Abstract

Many deceased donor factors determine utility of procured organs. In addition to the large dose of intravenous heparin usually given prior to aortic cross-clamp, kidneys are flushed with heparinized solution pre-implantation. In a donor with heparin induced thrombocytopenia (HIT), these exposures may lead to microthrombi, which may be a reason to refuse a kidney offer. We present a case of successful renal transplantation of a highly sensitized patient from a donor with HIT and microthrombi on biopsy.




J Curr Surg. 2014;4(1):29-30
doi: http://dx.doi.org/10.14740/jcs209w