Shams  Uddin,Hala  Izzu,Kaleem Ullah,Abdul  Wahab Dogar,Syed  Hasnain,Abdul  Ghaffar,
Providing Arterial Supply to the Liver Graft with Recipient Splenic Artery in Living Donor Liver Transplantation: Case Report
Transplantation Case Reports
2020
2733-2527
http://dx.doi.org/10.31487/j.TCR.2020.02.06
https://www.sciencerepository.org/providing-arterial-supply-to-the-liver-graft-with-recipient-splenic_TCR-2020-2-106 
Abstract: Hepatic arterial reconstruction is an important step in graft implantation in liver transplant procedure.
Hepatic arterial anastomosis always demands meticulous and highly skilled surgical techniques to provide
adequate blood supply to the graft. Hepatic arterial intimal dissection in liver transplantation is although a
rare but documented complication, with incidence of less than 5%, but having dreadful complications. To
overcome this complication of Recipient hepatic artery dissection, various techniques have been described
by different authors. Here, in this case report we are describing technique of utilization of transposed
recipient splenic artery for graft arterial inflow where native hepatic artery was dissected up to common
hepatic artery. Post-operative recovery was uneventful and on follow up, patient was absolutely fine. So,
recipient splenic artery is a safe alternative option in such complex situations for providing arterial blood
flow to the graft and moreover it avoids the burden of extra anastomosis which is required in conduit
technique.
Keywords: Living donor liver transplantation, splenic artery, hepatic artery dissection, graft, arterial supply