Figure 1. Drawing shows the anatomy of PAK transplantation, with bladder drainage and detailed depiction of the aortic patch containing the celiac (black arrow), splenic (sp), and superior mesenteric (*) arteries attached to the recipient common iliac artery. The donor portal vein is attached to the external iliac vein (white arrows). Note the side-to-side anastomosis between the duodenum (D), which is oversewn on both ends, and the bladder. A left iliac fossa renal transplant is also shown.