Letters to the Editor

CASE REPORT The patient is a 58-year-old male with end-stage renal disease secondary to hypertension and polycystic kidney disease on hemodialysis. VOO was suspected, and the venous anastomosis was taken down after reclamping the vasculature, but no obvious problem was visualized. [...]when the arterial clamp was opened, no venous bleeding was seen, suggesting a problem proximally. [...]the back-table surgeon must fully interrogate the lumen of the renal vein—especially true when creating an elongated venous outflow conduit for right kidney allografts—to offset the chance occurrence of VOO. 1.