Aortohepatic conduit as a method of hepatic artery reconstruction in liver transplantation

Liver transplantation (LT) is a standard treatment for liver failure and unresectable tumors.When recipient arterial abnormalities are present, hepatic artery (HA) reconstruction with an aortohepatic conduit is an alternative.The objective of the study was to determine the usefulness and safety of the aortohepatic conduit in LT.An analysis of the transplant program's database identified two cases using an aortohepatic conduit for HA reconstruction.HA thrombosis as a cause of retransplantation/A 34-year-old patient model for end-stage liver disease (MELD)-17 received a deceased donor liver transplant (DDLT).Within 24 h post-transplant, HA thrombosis was diagnosed.A retransplantation was performed using a celiac trunk graft with endto-side anastomosis to the supraceliac aorta, with satisfactory outcome.Two emergency transplants in one recipient/A 29-yearold pregnant patient (22.5 weeks, MELD 34) underwent a DDLT for acute liver failure.On post-operative day 6, she developed mildly elevated transaminases, and HA thrombosis was confirmed.She required retransplantation with an aortohepatic anastomosis using an interposed iliac graft to the supraceliac aorta.The aortohepatic conduit is a feasible option when the recipient's HA is unsuitable.Its possibility should always be considered and included in pre-operative planning.