Salvage of a Liver Allograft From Procurement Injury: A Case Report on the Reconstruction of the Suprahepatic Inferior Vena Cava With Donor Iliac Vein.

Organ procurement injury is an underreported yet preventable cause of allograft loss. In cases where procurement injury occurs, innovative methods for reconstruction are necessary to minimize organ discard rates given the nationwide organ shortage. The liver and suprahepatic inferior vena cava (IVC) are particularly vulnerable to injury during multiorgan procurements when multiple procurements teams are present. We report an extreme case of suprahepatic IVC injury and our method for repair that resulted in successful transplantation and adequate post-transplant graft function.