case_images: PMC6918729_01
case_images: PMC6918729_02
case_images: A) Metastatic liver of the recipient; B) splitting the liver of the donor, preserving the middle hepatic vein with the donor; C) venoplasty with 10 mm PTFE prosthesis; D) right liver is implanted in the recipient; E) Doppler after liver transplant (VHD=right hepatic vein and protese=prosthesis).
case_images: 0102-6720-abcd-32-04-e1468-gf1.jpg
case_images: PMC6918729_02_0102-6720-abcd-32-04-e1468-gf1.jpg
case_images: f1
case_images: Explorative laparotomy was performed in the recipient and no extrahepatic disease was observed in the abdomen (Figure 1A). In the donor the strategy was defined as right hepatectomy without middle hepatic vein and preserving V5 and V8 to perform anastomosis with 10 mm PTFE prosthesis during the back-table and venoplasty with the right hepatic vein (Figure 1B and 1C). The modified right lobe was implanted under partial clamping of the inferior vena cava and reconstruction of the Makuuchi vein (Figure 1D and 1E).