PURPOSE: To evaluate if direct procurement of heart is possible in combination with normothermic regional perfusion of abdominal organs in donors after circulatory death. DESCRIPTION: A donation after circulatory death pathway was utilized for a 41-year-old female following an irreversible brain injury. After meeting criteria for the organ donation, heart was retrieved and re-animated on ex-situ perfusion system while abdominal organs were perfused using normothermic regional perfusion. EVALUATION: All the donated organs and their recipients had excellent short-term outcome. CONCLUSIONS: We demonstrated a successful combination of direct procurement of the heart and normothermic regional perfusion of the abdominal organs.