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Portal venous reconstruction in a living liver donor with an anomalous hepatic arterial and portal venous anatomy. 2005
Shigeru Marubashi, and
Keizo Dono, and
Masato Sakon, and
Kunihito Gotoh, and
Hidenori Takahashi, and
Kazuhiko Hashimoto, and
Masaru Kubota, and
Shinji Yamamoto, and
Atsushi Miyamoto, and
Hiroaki Nagano, and
Shoji Nakamori, and
Koji Umeshita, and
Morito Monden
Department of Surgery and Clinical Oncology, Osaka University, Graduate School of Medicine, Suita, Osaka 565-0871, Japan.
Hepatic arterial and portal venous anomalies in living liver donors are not uncommon. Modified surgical techniques may be required in such circumstances, although the safety of the living donor must always be given top priority. We describe here a successful portal venous reconstruction in a living donor with an anomalous hepatic arterial and portal venous anatomy in which the right anterior and posterior hepatic arteries encircled the main portal vein. Although such an anomaly of hepatic vessels was not frequently encountered, we should be able to alter the surgical strategy to deal with it. This case illustrates the importance of preoperative hepatic artery and portal venous evaluation in all living donors to identify the feasibility of modifying vessel anastomoses in living donors, as well as recipients, before living donor liver transplantation.
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