First case of cross-auxiliary double domino donor liver transplantation

Figure 1 Implantation of the first graft. A: Reconstruction of the hepatic vein; B: Reconstruction of the portal vein; C: Reconstruction of the hepatic artery; D: Image of the first implanted graft.

Figure 2 Image of the second implanted graft.

Figure 3 Illustration of the positions of the livers and anastomoses of the vessels and bile ducts.

Figure 4 Photos of patients and doctors involved. A: The second domino graft transplantation in the familial amyloid polyneuropathy (FAP) patient was performed on October 16, 2013; B: The FAP recipient (left), the first (right) and second (middle) domino donors one month after the second operation; C: Doctor Zhi-Jun Zhu (right) and the FAP patient (left) 4 years after transplantation.