Left hepatic vein kinking after right trisegmentectomy: a potential cause of postoperative liver failure.

We report a case of left hepatic vein kinking which caused severe congestion of the left lateral segment after right trisegmentectomy for a large liver tumor. Intraoperative doppler ultrasonography documented an 80% reduction of the left hepatic vein blood flow when the left lateral segment was rotated into the right subphrenic space.