Successful combined hepatic and pancreatic allograft retrieval in donors with a replaced right hepatic artery.

The parallel development of reconstructive techniques used to retrieve and transplant organs with vascular anomalies, and of techniques used in the multiple organ retrieval process, have facilitated the recovery of the maximal number of transplantable organs from a limited supply of donors. Recent contributions to this effort are descriptions of combined retrieval of both liver and whole organ pancreaticoduodenal allografts from the same multiple organ donor. Suggested contraindications for the retrieval of the latter allograft have included the presence of a replaced right hepatic artery originating from the superior mesenteric artery. We describe herein the techniques used in retrieving both the liver and the whole pancreas from donors with this vascular anomaly.