“…It was with great interest that we read the article by Paterno et al We agree with their approach to the interposition of an alternative graft for hepatic arterial reconstruction in split-liver transplantation (SLT), and we share their concerns about the procedure because it is challenging when the iliac arteries are not suitable or available. (1) Among the many risk factors for hepatic artery thrombosis, on top of the list there is a significant mismatch between the sizes of the recipient's hepatic artery and the hepatic artery of the liver graft. (2) To the best of our knowledge, there are not as many suggestions about the best vascular segments to be considered during splitting the liver graft.…”