Figure 10. Coronal reformatted image from CT data demonstrates an accessory RHV (open arrow) draining separately into the IVC (arrowhead). This accessory vein measured over 4 mm in diameter and was located more than 5 cm from the insertion site of the main RHV (solid arrow) into the IVC. An accessory RHV is separately anastomosed with the graft in a recipient, a procedure that increases the complexity of transplant surgery.