Preparing for the inevitable: The death of a living liver donor


Address reprint requests to Teresa Diago Uso, M.D., Liver Transplant Program, Department of General Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk A100, Cleveland, OH 44195. E-mail:


Living donor liver transplantation (LDLT) is associated with a low but finite and well-documented risk of donor morbidity and mortality, so organizations and individuals involved in this activity must accept the fact that a donor death is a question of when and not if. Studies in the field of crisis management show that preparing for the inevitable not only is critical in preparing institutions to better respond to catastrophic events but more importantly plays a crucial role in preventing them. This article describes the background of crisis management with specific reference to the death of a living liver donor and proposes a general framework that can be adopted by LDLT programs around the world. Liver Transpl 19:656–660, 2013. © 2013 AASLD.