19/09/2026
Living Donor Liver Transplant | MHV Transection Strategy
In Living Donor Liver Transplantation, the transection plane may pass through the Middle Hepatic Vein (MHV).
The decision to:
• Preserve the whole MHV with the donor remnant
• Take the MHV with the graft
• Take a partial MHV with the graft
depends on multiple factors, including graft volume, venous drainage, donor anatomy, recipient requirements, and the anticipated adequacy of venous outflow.
In this case, the entire MHV was preserved with the donor remnant left lobe, while the right-lobe graft was harvested without the MHV.
A tailored transection and venous reconstruction strategy is essential to achieve adequate donor safety and optimal graft outflow.
Apollo Hospitals, Ahmedabad