We read with great interest the Letter from the Frontline by Chung et al., reporting on the successful surgical rescue of an early-onset hepatic venous outflow obstruction after pediatric living donor liver transplantation (LT).(1) Reports describing procedures for hepatic vein thrombosis after LT in children are extremely sparse, and an urgent re-LT is typically recommended. We herein share a previously unreported type of salvage procedure for this rare but severe complication.