Gastroduodenal artery steal syndrome treated with coil embolization after orthotopic liver transplantation

Gastroduodenal artery steal syndrome is an uncommon complication occurring after orthotopic liver transplantation (OLT) that results in hypoperfu- sion of the hepatic artery increasing the risk for graft dysfunction. Its non-specific clinical and imaging findings often delay diagnosis and increase the chance for re-transplantation or death. The lack of diagnostic criteria and definitive risk factors for developing the syndrome creates a need for angiography to visualize anatomical and perfusion characteristics indicative of the phenomenon. We present a 47-year-old male who underwent OLT and developed gastroduodenal artery steal a week after surgery. The diagnosis was confirmed with angiogram and successfully treated with coil em- bolization of the gastroduodenal artery. Arterial steal syndromes should be part of the broad differential when encountered with findings suggestive of an arterial complications in post-OLT patients.