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Transarterial chemoembolization in a patient with the replaced right hepatic and left gastric arteries arising from the abdominal aorta: a new anatomical variation

  • Anatomic Variations
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Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

Knowing the anatomical variation of the coeliac trunk (CT) and its detailed interpretation in the preoperative period is important for the prevention of iatrogenic injury during liver surgery or endovascular intervention on the coeliac trunk and its branches.

Methods

A diagnostic abdominal computed tomography angiography (CTA) was performed in a 61-year-old male patient, who was investigated for a liver cancer and chemoembolization was planned.

Results

CTA reveals that right hepatic artery (RHA) arises directly from the abdominal aorta, at the level of CT. This vessel coursing to the right hepatic lobe, functioning therefore as a replaced right hepatic artery (RRHA). Also, the left gastric artery (LGA) arises directly from the abdominal aorta. This patient successfully underwent chemoembolization from RRHA.

Conclusion

We presented a case of new anatomical variation involving the origination of RRHA and LGA from the abdominal aorta.

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Data availability

All data that support findings of the current study are accessible upon reasonable from the corresponding author.

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Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

Author information

Authors and Affiliations

  1. Department of Vascular Surgery, Clinic “Healthycore”, Tevdore Mgvdeli St. 13, 0121, Tbilisi, Georgia

    Grigol Keshelava

  2. Department of Visceral Surgery, Geo Hospitals Tbilisi Multiprofile Medical Center, Tbilisi, Georgia

    Levan Gogichaishvili

  3. Department of Interventional Cardiology, Clinic “Healthycore”, Tbilisi, Georgia

    Irakli Gogorishvili

Authors
  1. Grigol Keshelava
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  2. Levan Gogichaishvili
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  3. Irakli Gogorishvili
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Contributions

GK: project development, data collection, manuscript writing, manuscript approving. LG: data collection. IG: manuscript writing.

Corresponding author

Correspondence to Grigol Keshelava.

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Conflict of interest

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Informed consent has been obtained from the patient for publication of the case report and accompanying images.

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Keshelava, G., Gogichaishvili, L. & Gogorishvili, I. Transarterial chemoembolization in a patient with the replaced right hepatic and left gastric arteries arising from the abdominal aorta: a new anatomical variation. Surg Radiol Anat 46, 231–233 (2024). https://doi.org/10.1007/s00276-023-03296-4

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  • DOI: https://doi.org/10.1007/s00276-023-03296-4

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