We present our experience of successful kidney transplantation from a cardiac death donor with period of anuria for 164 hours. The donor was a woman in her thirties who was diagnosed as having incurred brain death due to suicide by hanging herself and had been anuric for 164 hours before cardiac arrest. A 46-year-old man received a deceased kidney transplantation, and the renal graft showed prompt urination on postoperative day (POD) 1. He got off hemodialysis on POD 9. His serum creatinine level was maintained at as low as 1.0 mg/dL 9 months after the surgery. In the face of a serious shortage in the donor pool, this anuric case indicated that acute tubular necrosis in a deceased donor due to a prolonged agonal stage might not be a contraindication for kidney transplantation.
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