In the era of worldwide organ shortage for liver transplantation, ever
y effort must be made to use all potentially available livers. In this
case report, we present a liver graft with abnormal left hepatic vein
draining directly to the right atrium of the donor heart, which was d
iscovered during back table preparation of a liver graft. The vein was
reconstructed and the subsequent liver transplantation was successful
. Five years after the transplantation, no signs of complications have
emerged.