A technique of diamond-shape venoplasty to reconstruct the hepatic venous outflow in living donor liver transplantation for a case of Budd-Chiari syndrome.

It is difficult to reconstruct the hepatic venous outflow in LDLT for the case of BCS, especially when the thrombosis extends to the retro-hepatic and supra-hepatic vena cava. We reported on a technique of diamond-shape venoplasty which successfully treated such a case. The venoplasty used autologous vein grafts to overcome the size discrepancy between the orifices of supra-diaphragmatic inferior vena cava and hepatic vein of the liver graft.