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To the Editor:rnNon-malignant portal vein thrombosis (PVT) remains an impor- tant issue in liver transplantation due to the technical challenges in re-establishing the portal flow to the liver graft. The prevalence of complex PVT (i.e. Yerdel grade 4) was reported to be around 2.0％ [1] . In the early history of liver transplantation, PVT was re- garded as a contraindication. As knowledge and techniques im- proved over the years, different operative strategies have been de- rived, including direct endovenous thrombectomy [2] , jump graft- ing to superior mesenteric vein (SMV) [3] , and renoportal [4] or portocaval anastomosis [3] . However, the majority of these reports focused on flow restoration in adult recipients in whom cirrho- sis with portal hypertension was the most common etiology. The wider caliber of mesenteric veins or the availability of shunts ren- dered such techniques feasible for portal flow restoration in adults. Nonetheless, this may not be possible in pediatric patients, given the size of the vessels, or the lack of spontaneous shunt forma- tions [5] . We herein describe a novel, frequently unnoticed route for portal flow restoration.