Fig. 3. Intraoperative photographs of the graft hepatic vein venoplasty at the back table. (A) The transverse diameter of the graft left hepatic vein (LHV) orifice was only 17 mm. (B) We made a 10 mm-long incision at the medial wall of the LHV trunk to enlarge the orifice. (C) A cryopreserved external iliac vein homograft patch was attached to the wall defect. Thereafter, we found a superficial LHV branch at the lateral side of the LHV orifice (arrow). (D, E) The overlying wall of this small vein was opened by 5 mm and the defect was covered with a small piece of the vein homograft. (F) A circumferential vein patch was finally attached at the graft LHV orifice and its transverse diameter was enlarged to 35 mm.
