Large Riedel’s lobe and atrophic left liver in a donor - Accept for transplant or call off?

Figure 2 Schematic overview of donor liver with Riedel’s lobe (Case 1): Bench pictures. A: Demonstrate atrophic left lateral segment with limited tissue on the left side of the falciform ligament and large right liver Riedel’s lobe with maintained liver vascularity including normal supra-hepatic inferior vena cava, portal vein and donor hepatic artery, donor had previous cholecystectomy; Schematic presentation of liver; B: Modified Piggy-Back anastomosis (side-to-side); C: With creation of a larger orifice compared to simple side-to-side cavo-cavostomy, Reperfusion pictures, schematic and in vivo; D: Modified side to side piggyback implantation with large teardrop incision of both donor and recipient inferior vena cava, reperfusion through portal vein first (end-to-end reconstruction, standard), end-to-end anastomosis between donor common hepatic artery and right common hepatic artery both at gastroduodenal artery patch. LLS: Left lateral segment; HA: Hepatic artery; PV: Portal vein; IVC: Inferior vena cave; CHA: Common hepatic artery; RHA: Right hepatic artery; SMA: Supra-mesenteric artery; GDA: Gastroduodenal artery; CBD: Common bile duct.