Abstract
Appreciation of the potential anatomical variation of the hepatic arterial supply and branches of the abdominal aorta is of paramount importance in pancreatic and hepatobiliary surgery. Here we describe a hitherto un-reported coelio-mesenteric anastomotic connection between a replaced right hepatic artery, originating from the superior mesenteric artery, and the left hepatic branch of the proper hepatic artery. The embryological origins of the variant anatomy as well as its potential surgical implications are discussed with a view to encourage thorough pre-operative interrogation of available imaging by radiologists and surgeons to successfully identify such variants and take advantage of their potentially useful functionality.
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Many thanks to Dr Sukriti Banthiya MD for her illustrations for this paper.
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LB (data analysis, manuscript writing), KK (data analysis, manuscript writing), AS (data collection, data analysis), RM (protocol development, data collection), AM (protocol development, data collection), JS (protocol development, data management).
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Borruso, L., Kotecha, K., Singla, A. et al. Rare anastomosis between a replaced right hepatic artery and left branch of the proper hepatic artery. Surg Radiol Anat 44, 137–141 (2022). https://doi.org/10.1007/s00276-021-02863-x
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DOI: https://doi.org/10.1007/s00276-021-02863-x