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A medical first: Surgeons at Johns Hopkins Hospital performed six simultaneous kidney transplants this week, in what doctors say was the largest-ever “domino” kidney swap. Five of the six transplant recipients had friends or relatives willing to donate a kidney, but those organs were incompatible with their intended recipients. When an “altruistic donor”—someone willing to donate a kidney to anyone—came forward, surgeons realized they were able to match all six patients with compatible kidneys. Nine surgical teams in six operating rooms performed the 10-hour procedures. “All 12 are doing great; the six kidneys are performing well,” said Dr. Robert Montgomery, who supervised the transplants.

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