nach oben

Surgical and Radiologic Anatomy

Erschienen in:

14.01.2016 | Anatomic Variations

Right hepatic artery from splenic artery: the four-leaf clover of hepatic surgery

verfasst von: Francesco Caruso, Daniele Dondossola, Gianluca Fornoni, Lucio Caccamo, Giorgio Rossi

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 7/2016

Einloggen, um Zugang zu erhalten

Abstract

The anatomy of hepatic arteries is one of the most variable. Accurate awareness of all the possible anatomic variations is crucial in the upper GI surgery and especially in liver and pancreas transplantation. The most frequent anatomical variants are: a replaced or accessory right hepatic artery (RHA) from the superior mesenteric artery (6.3–21 %), a replaced or accessory left hepatic artery (LHA) from the left gastric artery (LGA) (3–18 %) or a combination of these two variants (up to 7.4 %). Herein, we describe the case of a 67-year-old cadaveric organ donor who presented a RHA originating from the splenic artery (SA) associated with both a CHA originating from the celiac trunk (CT) and a LHA originating from the LGA.

Allen PJ, Stojadinovic A, Ben-Porat L et al (2002) The management of variant arterial anatomy during hepatic arterial infusion pump placement. Ann Surg Oncol 9:875–880CrossRefPubMed

Bradley D (2008) “Five-leaf clovers”. http://www.sciencebase.com/science-blog/five-leaf-clovers.html

Burke D, Earlam S, Fordi C, Allen-Mersh TG (1995) Effect of aberrant hepatic arterial anatomy on tumor response to hepatic artery infusion of floxuridine for colorectal liver metastases. Br J Surg 82:1098–1100CrossRefPubMed

Coşkun M, Kayahan EM, Ozbek O et al (2005) Imaging of hepatic arterial anatomy for depicting vascular variations in living related liver transplant donor candidates with multidetector computed tomography: comparison with conventional angiography. Transpl Proc 37:1070–1073CrossRef

Covey AM, Brody LA, Maluccio MA et al (2002) Variant hepatic arterial anatomy revisited: digital subtraction angiography performed in 600 patients. Radiology 224:542–547CrossRefPubMed

Curley SA, Chase JL, Roh MS et al (1993) Technical consideration and complications associated with the placement of 180 implantable hepatic arterial infusion devices. Surgery 114:928–935PubMed

De Cecco CN, Ferrari R, Rengo M et al (2009) Anatomic variations of the hepatic arteries in 250 patients studied with 64-row CT angiography. Eur Radiol 19:2765–2770CrossRefPubMed

De Santis M, Ariosi P, Calò GF et al (2000) Hepatic arterial vascular anatomy and its variants. Radiol Med 100:145–151PubMed

Egorov VI, Yashina NI, Fedorov AV et al (2010) Celiaco-mesenterial arterial aberrations in patients undergoing extended pancreatic resections: correlation of CT angiography with findings at surgery. JOP 11:348–357PubMed

10.

Gruttadauria S, Foglieni CS, Doria C et al (2001) The hepatic artery in liver transplantation and surgery: vascular anomalies in 701 cases. Clin Transpl 15:359–363CrossRef

11.

Gümüs H, Bükte Y, Özdemir E et al (2013) Variations of the celiac trunk and hepatic arteries: a study with 64-detector computed tomographic angiography. Eur Rev Med Pharmacol Sci 17:1636–1641PubMed

12.

Hardy KJ, Jones RM (1994) Hepatic artery anatomy in relation to reconstruction in liver transplantation: some unusual variations. Aust N Z J Surg 64:437–440CrossRefPubMed

13.

Hiatt JR, Gabbay J, Busuttil RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220:50–52CrossRefPubMedPubMedCentral

14.

Kemeny MM, Hogan JM, Goldberg DA et al (1986) Continuous hepatic artery infusion with an implantable pump: problems with hepatic artery anomalies. Surgery 99:501–504PubMed

15.

Koops A, Wojciechowski B, Broering DC et al (2004) Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies. Surg Radiol Anat 26:239–244CrossRefPubMed

16.

Lopez-Andujar R, Moya A, Montalva E et al (2007) Lessons learned from anatomic variants of the hepatic artery in 1081 transplanted livers. Liver Transpl 13:1401–1404CrossRefPubMed

17.

Löschner C, Nagel SN, Kausche S et al (2015) Hepatic arterial supply in 1297 CT-angiographies. Rofo 187:276–282CrossRefPubMed

18.

Mäkisalo H, Chaib E, Krokos N et al (1993) Hepatic arterial variations and liver-related diseases of 100 consecutive donors. Transpl Int 6:325–329CrossRefPubMed

19.

Michels NA (1962) Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 112:337–347CrossRef

20.

Niederhuber JE, Ensminger WD (1983) Surgical consideration in the management of hepatic neoplasia. Semin Oncol 10:135–147PubMed

21.

Rong GH, Sindelar WF (1987) Aberrant peripancreatic arterial anatomy: consideration in performing pancreatectomy for malignant neoplasms. Am Surg 53:726–729PubMed

22.

Rygaard H, Forrest M, Mygind T et al (1986) Anatomic variants of the hepatic arteries. Acta Radiol Diagn (Stockh) 27:425–427

23.

Saba L, Mallarini G (2011) Anatomic variations of arterial liver vascularization: an analysis by using MDCTA. Surg Radiol Anat 33:559–568CrossRefPubMed

24.

Soin AS, Friend PJ, Rasmussen A et al (1996) Donor arterial variations in liver transplantation: management and outcome of 527 consecutive grafts. Br J Surg 83:637–641CrossRefPubMed

25.

Stemmler BJ, Paulson EK, Thornton FJ et al (2004) Dual-phase 3D MDCT angiography for evaluation of the liver before hepatic resection. Am J Roentgenol 183:1551–1557CrossRef

26.

Suzuki T, Nakayasu A, Kawabe K et al (1971) Surgical significance of anatomic variations of the hepatic artery. Am J Surg 122:505–512CrossRefPubMed

27.

Varotti G, Gondolesi GE, Goldman J et al (2004) Anatomic variations in right liver living donors. J Am Coll Surg 198:577–582CrossRefPubMed

28.

Winston CB, Lee NA, Jarnagin WR et al (2007) CT angiography for delineation of celiac and superior mesenteric artery variants in patients undergoing hepatobiliary and pancreatic surgery. Am J Roentgenol 189:W13–W19CrossRef

Titel: Right hepatic artery from splenic artery: the four-leaf clover of hepatic surgery
verfasst von: Francesco Caruso
Daniele Dondossola
Gianluca Fornoni
Lucio Caccamo
Giorgio Rossi
Publikationsdatum: 14.01.2016
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 7/2016
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-016-1617-x

Neu im Fachgebiet Radiologie

23.04.2024 | Pankreaskarzinom | Nachrichten

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Right hepatic artery from splenic artery: the four-leaf clover of hepatic surgery

Abstract

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2016

Atypical location of the hypoglossal nerve and its implications: a case report

Presentation of soft tissue anatomy of mirror hand: an anatomical case report with implications for surgical planning

Anatomical and histological study to determine the border of sole skin

The posterior groove as a landmark for location of the palatovaginal canal in axial computed tomography

The relationship between tinnitus and vascular anomalies on temporal bone CT scan: a retrospective case control study

Analysis of the position of the branches of the ulnar nerve in Guyon’s canal using high-resolution MRI in positions adopted by cyclists

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie