Fig. 4.

LDLT with replacement of the inferior vena cava using a Dacron interposition graft for Budd-Chiari syndrome. (A) Preoperative CT scan showing typical findings of Budd-Chiari syndrome: retrohepatic obliteration of the inferior vena cava (multiple arrows), and portal vein stenosis and a large coronary collateral vein (black and white arrowheads, respectively). (B) Intraoperative photograph showing replacement of the inferior vena cava with a Dacron interposition graft between the right atrium and the suprarenal inferior vena cava (white arrowhead), and middle hepatic vein tributaries reconstructed using cryopreserved cadaveric iliac vein grafts. (C) Two-year postoperative CT scan revealing a patent replaced inferior vena cava, right hepatic vein, and portal vein without stenosis (white arrowhead, white arrow, and black arrowhead, respectively).

LDLT, living donor liver transplantation.