Aims: To present successful treatment of post liver transplant non occlusive hepatic artery hypoperfusion syndrome presented by splenic steal syndrome (SASS) cases managed by splenic artery embolization. SASS is one of possible arterial complications after living donor liver transplantation. Material includes personal experience in diagnostics and treatment of this syndrome. In each case complication was suspected based on laboratory and ultrasound data and proved by angiography. Successful treatment was performed using splenic artery embolization. Methods: From 2014 there are total of 13 liver transplantations were performed and we had 2 cases of SASS. All donor livers undergo biopsy and those biopsy tissues with no more than 10% steatosis could be eligible for transplantation. Results: One of the most threatening complications of liver transplantation from a living donor is hepatic artery thrombosis. There are many possible causes of thrombosis including technical, and coagulation dysfunctions that will lead to the different level of graft disorders. However, in some circumstances other possible factors may induce arterial dysfunction due to functional features of visceral blood flow under established portal hypertension. SASS develops in 1-4% of post-transplant cases at early period after surgery from 2-5 days, and is characterized by re-distribution of blood supply from celiac trunk predominantly to splenic or gastro-duodenal artery. As a result of this phenomenon the linear and volumetric blood flow rates in the hepatic artery decreases leading to arterial ischemia of liver graft and might even lead to thrombosis. During this process the level of transaminases and bilirubin increases along with the Doppler ultrasound changes and CT-angiography data. The most dangerous consequence of SASS is the development of hepatic artery thrombosis (HAT) with the possible loss of transplant. The main reason of SASS development is hyper perfusion of the transplant. The timely diagnosis of the formidable pathologic syndrome is very crucial in order to avoid the loss of the graft. Conclusions: It appears that patients with decompensated cirrhosis with long-time established portal hypertension should be carefully monitored early post-operative time after transplantation for any unexplained liver dysfunction confirmed with Doppler ultrasound, CT-angiography and coagulation abnormalities suggestive of SASS.