Anatomical Science International

, Volume 94, Issue 2, pp 216–223 | Cite as

The segmental branching of the hepatic arteries in the liver: a cadaveric study

  • Shallu Garg
  • Daisy SahniEmail author
  • Hemanth Kumar
  • T. D. Yadav
  • Anjali Aggarwal
  • Tulika Gupta
Original Article


The purpose of this work was to evaluate the sectorial and segmental arterial branching (second- and third-order branching) in the right and left hemilivers, as knowledge of this branching should lead to improved vascular mapping for various endovascular procedures in the liver. The study was conducted on 100 formalin-fixed adult cadaveric livers. The arterial anatomy of the liver was dissected from the origin of the hepatic arteries to their segmental branches. Conventional segmental branching of both the right and the left hepatic arteries was seen in only 25% of the livers. In the remaining livers, the segmental branching of one or both of the hepatic arteries was different from that given in anatomy texts. The branching of the right and left hepatic arteries was anatomically classified into seven and six patterns, respectively, mainly on the basis of their sectorial and segmental anatomy. The present study details the highly diverse segmental arterial anatomy of the liver. The information provided here has important implications for procedures that involve selective catheterization of segmental arteries.


Endovascular Hepatic arteries Liver anatomy Segmental arterial anatomy Vascularization 



This research was funded by the Indian Council of Medical Research (grant no.: 51/2/2010-Ana/BMS), New Delhi, India. The authors also wish to thank all of the donors of the cadavers used in the present study.


Indian Council of Medical Research (ICMR), New Delhi, India.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.


  1. Abdullah SS, Mabrut JY, Garbit V, De La Roche E, Olagne E, Rode A, Morin A, Berthezene Y, Baulieux J, Ducerf C (2006) Anatomical variations of the hepatic artery: study of 932 cases in liver transplantation. Surg Radiol Anat 28:468–473CrossRefGoogle Scholar
  2. Allen PJ, Stojadinovic A, Ben-Porat L, Gonen M, Kooby D, Blumgart L, Paty P, Fong Y (2002) The management of variant arterial anatomy during hepatic arterial infusion pump placement. Ann Surg Oncol 9:875–880CrossRefGoogle Scholar
  3. Couinaud C (1999) Liver anatomy: portal (and suprahepatic) or biliary segmentation. Dig Surg 16:459–467CrossRefGoogle Scholar
  4. Covey AM, Brody LA, Maluccio MA, Getrajdman GI, Brown KT (2002) Variant hepatic arterial anatomy revisited: digital subtraction angiography performed in 600 patients. Radiology 224:542–547CrossRefGoogle Scholar
  5. Desmet VJ (1991) Embryology of the liver and intrahepatic biliary tract, and an overview of malformations of the bile duct. In: MacIntyre N, Benhamou JP, Bircher J, Rizzeto M, Rodes J (eds) Oxford textbook of clinical hepatology. Oxford University Press, Oxford, pp 497–517Google Scholar
  6. Favelier S, Germain T, Genson PY, Cercueil JP, Denys A, Krausé D, Guiu B (2015) Anatomy of liver arteries for interventional radiology. Diagn Interv Imaging 96:537–546CrossRefGoogle Scholar
  7. Golfieri R, Cappelli A, Cucchetti A, Piscaglia F, Carpenzano M, Peri E, Ravaioli M, D’Errico-Grigioni A, Pinna AD, Bolondi L (2011) Efficacy of selective transarterial chemoembolization in inducing tumor necrosis in small (< 5 cm) hepatocellular carcinomas. Hepatology 53:1580–1589CrossRefGoogle Scholar
  8. Gruttadauria S, Foglieni CS, Doria C, Luca A, Lauro A, Marino IR (2001) The hepatic artery in liver transplantation and surgery: vascular anomalies in 701 cases. Clin Transplant 15:359–363CrossRefGoogle Scholar
  9. Hiatt JR, Gabbay J, Busuttil RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220:50–52CrossRefGoogle Scholar
  10. Jin GY, Yu HC, Lim HS, Moon JI, Lee JH, Chung JW, Cho BH (2008) Anatomical variations of the origin of the segment 4 hepatic artery & their clinical implications. Liver Transpl 14:1180–1184CrossRefGoogle Scholar
  11. Koops A, Wojciechowski B, Broering DC, Adam G, Krupski-Berdien G (2004) Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies. Surg Radiol Anat 26:239–244CrossRefGoogle Scholar
  12. Liu DM, Salem R, Bui JT, Courtney A, Barakat O, Sergie Z, Atassi B, Barrett K, Gowland P, Oman B, Lewandowski RJ, Gates VL, Thurston KG, Wong CY (2005) Angiographic consideration in patients undergoing liver directed therapy. J Vasc Interv Radiol 16:911–935CrossRefGoogle Scholar
  13. Michels NA (1966) Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 112:337–347CrossRefGoogle Scholar
  14. Onishi H, Kawarada Y, Das BC, Nakano K, Gadzijev EM, Ravnik D, Isaji S (2000) Surgical anatomy of the medial segment (S4) of the liver with special reference to bile ducts and vessels. Hepatogastoenterology 47:143–150Google Scholar
  15. Radtke A, Sgourakis G, Sotiropoulos GC, Molmenti EP, Nadalin S, Schroeder T et al (2009) Vascular and biliary anatomy of the right hilar window: its impact on recipient morbidity and mortality for right graft live donor liver transplantation. World J Surg 33:1941–1951CrossRefGoogle Scholar
  16. Raval M, Bande D, Pillai AK, Blaszkowsky LS, Ganguli S, Beg MS, Kalva SP (2014) Yttrium-90 radioembolization of hepatic metastases from colorectal cancer. Front Oncol 4:1–8CrossRefGoogle Scholar
  17. Saba L, Mallarini G (2011) Anatomic variations of arterial liver vascularization: an analysis by using MDCTA. Surg Radiol Anat 33:559–568CrossRefGoogle Scholar
  18. Saylisoy S, Atasoy C, Ersöz S, Karayalçin K, Akyar S (2005) Multislice CT angiography in the evaluation of hepatic vascular anatomy in potential right lobe donors. Diagn Interv Radiol 11:51–59Google Scholar

Copyright information

© Japanese Association of Anatomists 2019

Authors and Affiliations

  • Shallu Garg
    • 1
  • Daisy Sahni
    • 1
    Email author
  • Hemanth Kumar
    • 2
  • T. D. Yadav
    • 2
  • Anjali Aggarwal
    • 1
  • Tulika Gupta
    • 1
  1. 1.Department of AnatomyPostgraduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of General SurgeryPostgraduate Institute of Medical Education and ResearchChandigarhIndia

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