A technique is described for en bloc transplantation of both kidneys from pediatric cadaver donors into adult recipients whereby donor aorta is interposed into recipient external iliac artery. Three cases utilizing this technique are reported and two of these patients currently survive with normal renal function. The operation is simple to perform, adaptable to a variety of situations, and can increase the pool of cadaver donors by making small pediatric donors available for adult recipients.
Andersen OS, Jonasson O, Merkel FK. En Bloc Transplantation of Pediatric Kidneys Into Adult Patients. Arch Surg. 1974;108(1):35-37. doi:10.1001/archsurg.1974.01350250027007