article = {SCR-2019-1-106} title = {Liver retransplantation due to splenic artery steal syndrome in a patient with common hepatic artery arising from the superior mesenteric artery} journal = {Surgical Case Reports} year = {2019} issn = {2613-5965} doi = {http://dx.doi.org/10.31487/j.SCR.2019.01.006} url = {https://www.sciencerepository.org/liver-retransplantation-due-to-splenic-artery-steal-syndrome-in-a-patient-with-common-hepatic-artery-arising-from-the-superior-mesenteric-artery_SR-SCR-2019-1-106 author = {E. Mouloudi, K. Karakasi, N. Antoniadis,A. Fouza,Georgios Katsanos,I. Goulis,Ioannis Fouzas,Maria Daoudaki,V. Georgopoulou,} keywords = {Liver retransplantation, common hepatic artery, superior mesenteric artery} abstract ={Splenic artery steal syndrome, (SASS) is a controversial cause of hepatic artery (HA) hypoperfusion attributed either to a decreased HA flow due to deviation to the splenic artery or to HA vasoconstriction in response to the increased portal flow due to the hepatic arterial buffer response (HABR). Herein we report a case of SASS that showed an anatomic variant of a replaced common hepatic artery (CHA), originating exclusively from the superior mesenteric artery (SMA) that was treated successfully with splenic artery ligation These findings support, at least in this case, that the etiology of graft dysfunction is the increased portal flow rather than the deviation of the hepatic artery flow to the splenic artery.}