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Postoperatively, all 3 patients had rapid normalization of liver function tests and brisk HA flow demonstrated by Doppler ultrasound. Longer-term follow-up, ranging from 1 to 3 years, reveals continued patency of the reconstructed HAs and liver function tests within normal limits. Our experience points to SAT as a safe and effective technique for extra-anatomic HA reconstruction. Our experience points to SAT as a safe and effective technique for extra-anatomic HA reconstruction. Vascularized composite allografts (VCA) have demonstrated