Fig. 4. Portal vein (PV) reconstruction in Case 2. Peritransplant computed tomography (CT) findings of the recipient. (A, B) CT angiography 1 month before transplantation, showing moderate hypoplasia of the PV with underdevelopment of the splanchnic venous system. (C) CT angiography 4 days after transplantation, showing stretching of the reconstructed PV with anastomotic stenosis (arrow). (D) CT angiography 14 days after transplantation, showing smooth streamlined expansion of the reconstructed PV (arrow). Intraoperative photographs of the recipient: (E, F) apparent stretching of the reconstructed PV, consisting of a combination of the native PV wall and a cryopreserved femoral vein. (G) Rightward placement of the graft to assess the degree of PV stretching. This position appeared acceptable for graft accommodation.
