title: Unusual presentation of left hepatic vein in deceased donor: case report.
abstract: An anomaly of the left hepatic vein was discovered in a deceased donor for whole liver transplantation. This vein was attached by a thin bridge of tissue to the suprahepatic inferior vena cava cuff, which received the right and middle hepatic vein in a common trunk. The left hepatic vein and the common trunk drained together into the right atrium. The thin bridge of tissue connecting the 2 independent vessels was severed, and ex situ reduction of the left lateral segments was using a harmonic scalpel. Although a graft with reduced size is not ideal, ex situ reduction should be considered a valuable option when viability of the left lateral segments is uncertain in the donor or at the back table.
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (ISMETT), University of Pittsburgh Medical Center, Palermo, Italy. sgruttadauria@ismett.edu
authors.forename: S
authors.initials: S
authors.lastname: Gruttadauria
authors.forename: D
authors.initials: D
authors.lastname: Pagano
authors.forename: D
authors.initials: D
authors.lastname: Cintorino
authors.forename: G
authors.initials: G
authors.lastname: Burgio
authors.forename: G J
authors.initials: GJ
authors.lastname: Echeverri
authors.forename: R
authors.initials: R
authors.lastname: Miraglia
authors.forename: L
authors.initials: L
authors.lastname: Maruzzelli
authors.forename: S
authors.initials: S
authors.lastname: Li Petri
authors.forename: F
authors.initials: F
authors.lastname: di Francesco
authors.forename: B
authors.initials: B
authors.lastname: Gridelli
mesh_terms: D000328:Adult; D005260:Female; D006503:Hepatic Veins / Q000002:abnormalities / Q000637:transplantation*; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D055031:Primary Graft Dysfunction / Q000601:surgery*; D012086:Reoperation; D014019:Tissue Donors; D016896:Treatment Outcome