Abstract
We report a rare variant in mesenteric arterial anatomy: replacement of the right hepatic and common hepatic arteries to the SMA in a patient treated for hepatocellular carcinoma. The potential clinical implications of this unusual variation of celiaco-mesenteric anatomy will be discussed.
Similar content being viewed by others
References
Chen C et al (1998) Normal and variant anatomy of the hepatic arteries. Chin Med 61:17–23
Covey A et al (2002) Variant hepatic arterial anatomy revisited: digital subtraction angiography performed in 600 patients. Radiology 224(2):542–547
Haller A (1756) Icones anatomicae in quibus aliquae partes corporis humani delineatae proponuntur et arteriarum potissimum historia continetur. Vandenhoeck, Göttinger
Hassan O et al (2019) Aberrant arc between the common hepatic artery and a replaced right hepatic artery resulting in misperfusion in a patient with a hepatic arterial infusion pump. Surg Radiol Anat 41(3):355–359
Koops A et al (2004) Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies. Surg Radiol Anat 26(3):239–244
Lipshutz B (1917) A composite study of the coeliac axis artery. Ann Surg 65(2):159–169
Michels N (1966) Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J of Surg 112(3):337–347
Noussios G et al (2017) The main anatomic variations of the hepatic artery and their importance. J Clin Med Res 9(4):248–252
Song S et al (2010) Celiac axis and common hepatic artery variations in 5002 patients: systemic analysis with spiral CT and DSA. Radiology 255(1):278–288
Author information
Authors and Affiliations
Contributions
LB: manuscript writer/editor interventional radiology attending. JN: manuscript writer/editor interventional radiology attending, participated in the interventional radiology portion of the case. GK: manuscript writer. SC: interventional radiology fellow and participated in chemoembolization. MSG: attending surgeon for hepatic resection.
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bodner, L., Nosher, J., Khodorov, G. et al. Replaced right and common hepatic arteries with lienogastric trunk: a rare variant of celiaco-mesenteric anatomy. Surg Radiol Anat 42, 1475–1477 (2020). https://doi.org/10.1007/s00276-020-02505-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-020-02505-8