Recipient Hepatic Vein as an Autologous Vascular Graft for Hepatic Vein Reconstruction in Living Donor Liver Transplantation.

Abstract

The outflow congestion of liver grafts is potentially life-threatening in living donor liver transplantation (LDLT) using the right liver graft (RLG) devoid of the middle hepatic vein (MHV) or the right posterior section graft (RPSG). To prevent congestion of the right anterior section of an implanted RLG, it is crucial to reconstruct donor MHV tributaries using vascular grafts. Congestion of the right hepatic vein (RHV) due to an anastomotic stricture or trunk twisting can also be prevented by effective venoplasty using vascular grafts.