Fig. 3. Portal vein (PV) reconstruction in Case 1. Peritransplant computed tomography (CT) findings of the recipient. (A) CT angiography 1 month before transplantation, showing marked shrinkage of the PV (arrow). (B) CT angiography 4 days after transplantation, showing uneventful reconstruction of the PV conduit (arrow); intraoperative photographs of the recipient. (C) The native PV was longitudinally incised, and a vein conduit was anastomosed at the superior mesenteric vein-splenic vein confluence portion. (D) The conduit vein was incised longitudinally (arrow). (E) Running sutures were continued toward the PV bifurcation portion. (F) The redundant conduit portion was excised (dotted line). (G) The reconstructed PV stump was anastomosed with the graft PV. (H) The native PV became the posterior wall of the reconstructed PV (arrow).
