(A) The stent-graft is placed from the main portal trunk to the left portal branch across the porto-biliary fistula. (B) Despite a post balloon dilation, the stent-graft is strongly bent and not fully expanded at the stricture portion of the portal vein (arrow). (C) Portography shows recanalization of the left portal branch. However, the stent-graft is not fully expanded (arrow). (D) Contrast-enhanced computed tomography 1 month after the procedure shows no blood flow in the saccular dilatation portion (arrow). However, the stent-graft (arrowhead) is occluded by thrombus formation, and peripheral portal branch flow could not be preserved.