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Controlled organ retrieval in donors after cardiac death has been increasing in Australia to help bridge the gap in demand and supply. Donation of organs from donors with acute aortic syndrome has been scarcely reported. Several concerns exist related to ischemic insults before retrieval from malperfusion, systemic inflammatory state in dissection, and involvement of donor organ vessels that may preclude the ability of surgeons to perform successful anastomosis of healthy vessels. Here, we have described a case in which both kidneys were successfully retrieved from a donor after cardiac death who had a type A0 aortic dissection. Despite radiological malperfusion and concern about vessel integrity, donor organs were unaffected and had immediate graft function.