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Management of advanced stage of  Echinococcus alveolaris  is a very difficult procedure. Surgical treatment like resection and liver transplantation is accepted procedure nowadays. Here we presented a case report of  Echinococcus alveolaris  which invaded the inferior vena cava up to the right atrium and surrounding tissues. This patient underwent living donor liver transplantation with replacement of inferior vena cava up to the right atrium with cryopreserved cadaveric aortic graft. This procedure is very difficult but it is a life-saving chance for patients in advanced cases of  Echinococcus alveolaris .

Replacement of Vena Cava up to the Right Atrium during Living Donor Liver Transplantation forEchinococcus alveolaris