A two-step strategy for enlargement of left arterial branch in a living related liver graft with dual arterial supply

Richard Douard, Giuseppe Maria Ettorre, Daniele Sommacale, Dominique Jan, Yann Révillon, Olivier Farges, Jacques Belghiti

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16 Scopus citations


The use of small caliber arteries is probably responsible for the higher hepatic artery thrombosis rate initially reported after living related liver transplantation. We described a two-step strategy generating flow-induced enlargement of a small diameter artery in case of left graft dual arterial supply. The smaller arterial branch was ligated during a laparoscopic first-step procedure inducing a 30% enlargement of the remaining branch. The second-step donor hepatectomy was performed 1 week later using a larger artery for successful vascular anastomosis. The flow-induced enlargement of donor hepatic artery may help to reduce hepatic artery thrombosis risk after pediatric living related liver transplantation.

Original languageEnglish (US)
Pages (from-to)993-994
Number of pages2
Issue number6
StatePublished - Mar 27 2002


ASJC Scopus subject areas

  • Transplantation

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