Procurement of liver and pancreas allografts in donors with replaced/accessory right hepatic arteries.

Anatomic variants in the origin of the right hepatic artery have led to various approaches at the time of organ procurement for transplantation. Of special relevance is the presence of a replaced or accessory right hepatic artery arising independently from the superior mesenteric artery. On the basis of an estimated combined experience of almost 2,000 organ procurements and implantations, we propose a technique in which dissection is kept to a minimum, with the goal of preventing procurement-associated injuries.