Distal Gastroduodenal Arterial Inflow as a Salvage Strategy for Extensive Intraoperative Arterial Dissectıon in Living Donor Liver Transplantation

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“…In the setting of living donor liver transplantation (LDLT), recipient arterial dissection is an unfortunate and worrisome intraoperative situation. In a recent Letter to the Editor, Yilmaz and colleagues (1) shared their extensive experience with LDLT, emphasizing the use of other nearby arteries such as the splenic artery (SA) or the left gastric artery (LGA) for providing arterial inflow to the graft. The authors point out that retrograde gastroduodenal artery (GDA) inflow is often inadequate and an interposition great saphenous vein (GSV) conduit is likely to increase the risk of hepatic artery thrombosis (HAT).…”