Publication Name	World Journal of Transplantation
Manuscript ID	119012
Country	Japan

Category	Transplantation
Manuscript Type	Case Report
Article Title	Donor heart injury caused by liver needle biopsy during multi-organ procurement surgery: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Yuriko Terada, Tsuyoshi Takahashi, Michael K Pasque, Daniel Kreisel and Amit Pawale
Funding Agency and Grant Number
Corresponding Author	Yuriko Terada, MD, PhD, Department of Surgery, Washington University School of Medicine, 13-1 Takara-Machi, Kanazawa, St. Louis, MO 63108, United States. yuriko.terada@gmail.com
Key Words	Transplantation; Heart; Organ procurement; Donor injury; On-site decline; Case report
Core Tip	Organ procurement injuries during multi-organ recovery are considered rare, but they can result in irreversible loss of otherwise transplantable organs and may be underreported in national registries. We describe an unusual case in which a liver core needle biopsy performed during abdominal procurement caused transdiaphragmatic puncture injury to the donor heart, leading to intraoperative heart decline at the donor hospital. This case highlights a preventable mechanism of donor heart loss and emphasizes the importance of coordination, timing, and protective strategies among procurement teams to avoid avoidable organ injury.
Citation	Terada Y, Takahashi T, Pasque MK, Kreisel D, Pawale A. Donor heart injury caused by liver needle biopsy during multi-organ procurement surgery: A case report. World J Transplant 2026; In press

Received	2026-01-19 06:19
Peer-Review Started	2026-01-19 06:23
First Decision by Editorial Office Director	2026-01-28 09:15
Return for Revision	2026-01-28 09:15
Revised	2026-02-09 22:12
Publication Fee Transferred	2026-03-18 00:19
Second Decision by Editor	2026-04-13 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-13 09:52
Articles in Press	2026-04-13 09:52
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3230 (online)
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