Objectives: Vascular complications (VC) after living donor liver transplantation (LDLT) are one of the most feared problems that result in graft and patient loss. The aim of this study was to assess the incidence, treatment, and outcome of vascular complications of patients after adult to adult LDLT in a single Egyptian center. Methods: Between April 2003 and February 2013, we performed 167 adult to adult LDLT. The overall male/female ratio was 147/20. We retrospectively identified and analyzed

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... vascular complications in recipients. Results: The overall incidence of VC was 21.6% (n=36) and individually HA thrombosis 3.6% (n=6), HA stenosis 10.2% (n=17), HA injury 0.6% (n=1), PV thrombosis 4.8% (n =8), PV stenosis 0.6% (n=1), HV thrombosis 0.6% (n=1), HV stenosis 0.6% (n=1) and IVC tear 0.6% (n=1). 12/36 (33.3%) patients died as a direct result of the vascular complications. The overall 1-, 3-, 5-and 7-year survival rates in our series were 61.1%, 56.9%, 56.3% and 55.1% respectively. The 1-, 3-, 5-and 7-year survival rates in patients with and without VC were 41. 7%, 36.1%, 36.1% and 36.1% and 66.4%, 62.6%, 61.8% and 60.3% respectively. Conclusion: VC were associated with significant reduction in survival in our study, so prevention and proper treatment of them is required to achieve better survival among patients undergoing LDLT.