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Neonatal kidney donation and transplantation: a realistic strategy for the treatment of end-stage renal disease
  1. Imeshi Wijetunga1,
  2. Sanjay Pandanaboyana1,
  3. Shahid G Farid1,
  4. Clare Ecuyer1,
  5. Andrew Lewington2,
  6. Lutz Hostert1,
  7. Magdy Attia1,
  8. Niaz Ahmad1
  1. 1 Department of Hepatobiliary and Transplant Surgery, St James's University Hospital, Leeds, UK
  2. 2 Department of Renal Medicine, St James's University Hospital, Leeds, UK
  1. Correspondence to Niaz Ahmad, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK; niaz.ahmad{at}leedsth.nhs.uk

https://doi.org/10.1136/archdischild-2014-306592

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    Charles and colleagues have highlighted an important although long ignored area of potential donation for transplantation and have explored this potential in the context of the neonatal population.1 While the diagnosis of brain stem death (BSD) remains a problem in donors under 2 months of age, there has been progress in donation after circulatory death (DCD) in the UK in this age group. We report successful outcome following renal transplantation from a 7-week-old DCD donor, with 1-year follow-up.

    The donor was a 7-week-old infant weighing 5 kg whose cause of death was hypoxic brain injury. The recipient was a 22-year-old female who had end-stage renal failure secondary to familial IgA nephropathy and been on peritoneal dialysis for over a year. …

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    Footnotes

    • Contributors IW and NA conceived, initiated and drafted the manuscript. SP and SG undertook the literature review. CE assisted with data collection. MA, LH and AL participated in critical revision of the manuscript. All authors approved of the final manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Data sharing statement All unpublished data on this case are stored securely and is available to the first and senior authors on this paper.