Anatomy To create a porto-caval shunt in a patient with portal hypertension, which of the following venous anastomosis should be performed? A Superior mesenteric vein to inferior mesenteric vein B Right gastric vein to left gastric vein C Right gastric vein to right gastric vein D Left splenic vein to left renal vein 💡 Explanation To create a porto-caval shunt in a patient with portal hypertension, which of the following venous anastomosis should be performed? ✓ Correct Answer: D. Left splenic vein to left renal vein