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Arch Surg. 1999;134:901.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

ONE NIGHT in March 1984, we were in the process of removing a donor liver for transplantation from a young trauma victim. After some dissection in the porta hepatis, we learned that the potential recipient had an electrocardiogram on admission that showed recent myocardial injury. Because the recipient did not have terminal liver disease, we attempted to place the liver at another center rather than risk further myocardial injury to the patient during the operation. There was no national system of organ sharing at this time, and placement of organs was usually done on an ad hoc basis from surgeon to surgeon. Our attempts in this case were unsuccessful. Having completed most of the dissection in the porta hepatis, we elected to shift gears and transplant the pancreas instead.

I had just returned from Pittsburgh, Pa, where I had read a preprint of the article by Starzl et al¹ on . . . [Full Text of this Article]