Systemic hemodynamics in advanced cirrhosis: Concerns during perioperative period of liver transplantation

Figure 2 Intentional modulation of portal venous pressure during living-donor liver transplantation. Splenectomy is chosen to reduce PVP (red dotted line). Ligations (red lines) of vessels (GCV, IMV, and GCT), collaterals (along LCV and around the native liver) and shunt (SRS) prevent a steal of PVF, and thereafter, PVF will increase (yellow arrow). AV: Azygos vein; GCT: Gastro-colic trunk; GCV: Gastric coronary vein; HAV: Hemi-azygos vein; IMV: Inferior mesenteric vein; IVC: Inferior vena cava; LCV: Left colic vein; LRV: Left renal vein; PV: Portal vein; SMV: Superior mesenteric vein; SPV: Splenic vein; SRS: Splenorenal shunt; SVC: Superior vena cava.