title: Intrahepatic blood flow redistribution after temporary occlusion of the middle hepatic vein during right lobe liver donation: report of a case.
abstract: BACKGROUND
  One of the critical factors that influence graft function after live donor liver transplantation is the presence or absence of global or sectorial liver congestion. Many authors advocate for routine middle hepatic vein (MHV) reconstruction because it is often difficult to determine when the MHV or one of its major branches have functional significance. Predictive tests to assess hemodynamic and functional significance of the MHV and its tributaries are still under study.
  
  
  METHODS
  We have described a novel intraoperative manipulation and Doppler ultrasonographic evaluation that led to the decision to include the MHV with the right lobe graft.
authors.affiliation: Department of Surgery, Liver Transplant Center, Cleveland Clinic, Cleveland, Ohio. Electronic address: diagot@ccf.org.
authors.forename: T
authors.initials: T
authors.lastname: Diago
authors.affiliation: Department of Surgery, Liver Transplant Center, Cleveland Clinic, Cleveland, Ohio.
authors.forename: C
authors.initials: C
authors.lastname: Quintini
authors.affiliation: Centro Trapianti di Fegato e Multiviscerale, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Di Benedetto
authors.affiliation: Department of Surgery, Liver Transplant Center, Cleveland Clinic, Cleveland, Ohio.
authors.forename: L
authors.initials: L
authors.lastname: Trenti
authors.affiliation: Department of Surgery, Liver Transplant Center, Cleveland Clinic, Cleveland, Ohio.
authors.forename: A
authors.initials: A
authors.lastname: Nassar
authors.affiliation: Department of Gastroenterology, Nuovo Ospedale S. Agostino, Modena, Italy.
authors.forename: H
authors.initials: H
authors.lastname: Bertani
authors.affiliation: Centro Trapianti di Fegato e Multiviscerale, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
authors.forename: N
authors.initials: N
authors.lastname: Cautero
authors.affiliation: U.O. Trapianti di Fegato e Multiorgano, Policlinico Sant'Orsola, Universtà di Bologna, Bologna, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Lauro
authors.affiliation: U.O. Trapianti di Fegato e Multiorgano, Policlinico Sant'Orsola, Universtà di Bologna, Bologna, Italy.
authors.forename: A D
authors.initials: AD
authors.lastname: Pinna
authors.affiliation: Department of Surgery, Liver Transplant Center, Cleveland Clinic, Cleveland, Ohio.
authors.forename: C M
authors.initials: CM
authors.lastname: Miller
mesh_terms: D000328:Adult; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000098:blood supply*; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D014463:Ultrasonography