Donor vessels during organ procurement: Precious heritage that leads to success in liver transplantation in case of technical complexity

It was with great interest that we read the article by Dr. Paterno, and we agree with their approach to, and concerns about, the interposition of alternative graft for hepatic arterial reconstruction in split-liver transplantation (SLT), a challenging procedure when the iliac arteries are not suitable or available. Among many risk factors for hepatic artery thrombosis on top of the list there is a significant mismatch between the sizes of the recipient's hepatic artery and the hepatic artery of the liver graft.