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.
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