The right hepatic vein, the intermediate hepatic vein and the left hepatic vein
belong to the upper group.
The basic abnormality is a vascular aberration in which the splanchnic venous return drains directly into the systemic veins (IVC or the left renal, left iliac or left hepatic vein
), diverting the mesenteric circulation away from the liver.
Measurements of HBF by TEE have certain limitations as the left hepatic vein
in not accessible in about 80% of anesthetized patients.
The allogeneic iliac vein was adopted to reconstruct the left branch of the recipient portal vein and the left hepatic vein
. Then, the hepatic vein was anastomosed to the recipient vena cava.
Finally, the left hepatic vein
was transected with an Echelon stapler [Figure 1]i.
The recognition of this entity is facilitated by examining the left portal vein, left hepatic vein
and left bile duct with no right side abnormality or intrahepatic duct dilation.
Gross angles between the right and middle hepatic vein and middle and left hepatic vein
was measured after putting thin iron wires (0.960 mm calibre) along the medial edge of the vein, up to a distance of 2.5 cm.
(6) The procurement usually involves removing the left lateral segment along with the left branch of the portal vein, left hepatic artery and left hepatic vein
. The recipient operation is similar to that of implantation of a cadaveric split left graft; the inferior vena cava (IVC) is preserved, the left hepatic vein
is anastomosed to the recipient IVC, and the left portal vein of the graft is anastomosed to the main portal vein in the recipient.
Venous drainage was directly into the IVC via a large aberrant vein running parallel to the left hepatic vein
, as well as into the left renal vein (Fig.
There was a small right lobe mostly occupied by a white, multinodular tumor, extending to segment IV and the left hepatic vein
. In addition, there was a 1-cm lesion on the surface of the left lobe and moderate portal hypertension.
The right fissure contained the upper (A12.3.09.006), middle, and lower right hepatic veins; the main fissure contained the intermediate vein (A12.3.09.007); the umbilical fissure did not contain the left hepatic vein
(A12.3.09.008), this vein has intrasegmental pathway in segments III and II.
Placement of transjugular intrahepatic portosystemic shunt via the left hepatic vein
under sonographic guidance in a patient with right hemihepatectomy.