Living Related Donor Liver Transplantation with Atrio- Caval Anastomosis of Inferior Vena Cava Graft Stored in Deep-Freeze for Budd-Chiari Syndrome

We have previously reported our experience in inferior vena cava resection and reconstructiontechniques during liver transplantation for Budd-Chiari syndrome. Herein, we present on a casethat demonstrates the importance of experience in complex vascular reconstruction techniquesfor living donor liver transplantation. A 15-year-old boy was scheduled for living donor liver transplantation for Budd-Chiari syndrome. Venous occlusion was extended up to the right atrialorifice of the supra-hepatic vena cava. Retro- and supra-hepatic segments of the vena cavawas resected. Inferior vena cava graft stored in deep-freeze was available. Venous reconstructionwas performed with end-to-end atrio-caval anastomosis. Surgical treatment was completedwith the implantation of the right liver lobe donated by the patient’s mother. Post-surgical course was uneventful.