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Brazilian Patient Dies Days After Rare Five-Organ Transplant Under Public System

The case underscores the extreme risks of multivisceral transplants under Brazil's recently expanded public coverage.

Overview

  • Perillo's family announced his death on September 30 without specifying a medical cause.
  • He underwent a staged multivisceral transplant in São Paulo on September 23, receiving stomach, pancreas, liver, intestine and kidney from a single donor.
  • After the first surgical cycle, doctors paused the process to treat an infection, and he later suffered cardiac arrest.
  • The operation was enabled by a February 2025 move to include multivisceral transplants in Brazil's public health system.
  • The procedure remains rare in the country, with about five authorized centers and only two such transplants recorded in 2024.