Renoportal anastomosis in living donor liver transplantation with prior proximal splenorenal shunt

Figure 1 Active splenorenal shunt draining from the splenic vein into the left renal vein. VCI: Vena cava inferior; SRS: Splenorenal shunt; SMV: Superior mesenteric vein.

Figure 2 Anterior part of the infrahepatic vena cava was explored and dissected down to expose the bifurcation of the left renal vein. LRV: Left renal vein; VCI: Vena cava inferior; RRV: Right renal vein.

Figure 3 Right renal vein between left renal vein and graft portal vein with interposition vein graft. IPVG: Interposition vein graft; LRVS: Left renal vein stump.

Figure 4 Computerized tomography scans visualize the patency of the right renal vein. IPVG: Interposition vein graft; LRV: Left renal vein.