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Case Reports in Transplantation
Volume 2019, Article ID 4359197, 4 pages
https://doi.org/10.1155/2019/4359197
Case Report

Chronically Retained Central Venous Catheter in Deceased Donor Liver Allograft

1Department of Surgery, University of Southern California, Los Angeles, CA, USA
2Sierra Donor Services, Sacramento, CA, USA

Correspondence should be addressed to Juliet Emamaullee; ude.csu.dem@eelluamame.teiluj

Received 8 March 2019; Accepted 16 April 2019; Published 30 April 2019

Academic Editor: Frieder Keller

Copyright © 2019 Shannon Zielsdorf et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Central venous catheters (CVC) are commonly used across multiple medical specialties and are inserted for various reasons. A known, but rare, serious complication of CVC is fracture and retention of residual catheter. Here we describe a chronically retained catheter within the inferior vena cava (IVC) that was asymptomatic and neither diagnosed nor addressed until time of deceased donor liver donation. Prior to transplantation into the recipient, the retained catheter was removed, and a venoplasty of the suprahepatic IVC, middle hepatic vein, and left hepatic vein was performed with no significant issues after transplant in the recipient. With the persistent shortage of suitable organs for transplant leading to patients dying on the waiting list, every good quality organ should be carefully considered. Thus, even though a chronically retained, fractured CVC in a deceased organ donor presents a unique challenge, it can be managed surgically and should not be considered a contraindication to organ utilization.