Conjoined right hepatic artery from branches of the common hepatic and gastroduodenal arteries: a rare anatomic variant.
Celiaco-mesenteric vasculature
Colorectal liver metastases
Hepatic artery variants
Interventional radiology
Right hepatic artery
Journal
Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
24
07
2021
accepted:
25
10
2021
pubmed:
17
11
2021
medline:
18
1
2022
entrez:
16
11
2021
Statut:
ppublish
Résumé
To describe a previously unreported anatomical variant of the hepatic arterial supply: a conjoined right hepatic artery, formed by branches of the common hepatic artery and gastroduodenal artery. A 54-year-old female with oligometastatic colorectal cancer with metastases to the liver presented for planning stage arteriography in preparation for Y90 radioembolization. Arteriography of the common hepatic artery demonstrated bifurcation into a right hepatic artery and gastroduodenal artery. The gastroduodenal artery gave rise to a proximal branch, from which the left hepatic artery originated and then continued to anastomose in the hilum of the liver to the right hepatic artery originating from the common hepatic artery. It was initially identified on visceral artery arteriography and then retrospectively recognized on pre-procedural CT scan. Anatomical variants of the hepatic arterial supply are important to recognize during planning stage arteriography in preparation for Y90 radioembolization. Knowledge of these variants is also important for pre-operative planning.
Identifiants
pubmed: 34783869
doi: 10.1007/s00276-021-02856-w
pii: 10.1007/s00276-021-02856-w
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
143-146Informations de copyright
© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.
Références
Adachi B (1928) Das Arteriensystem der Japaner, vol 2. Maruzen, Kyoto, pp 18–73
Al Bandar MH, Kim NK (2017) Current status and future perspectives on treatment of liver metastasis in colorectal cancer (Review). Oncol Rep 37(5):2553–2564 (PMID: 28350137)
doi: 10.3892/or.2017.5531
Bodner L, Nosher J, Khodorov G, Crayton S, Grandhi MS (2020) Replaced right and common hepatic arteries with lienogastric trunk: a rare variant of celiaco-mesenteric anatomy. Surg Radiol Anat 42(12):1475–1477 (PMID: 32591932)
doi: 10.1007/s00276-020-02505-8
Catalano OA, Singh AH, Uppot RN, Hahn PF, Ferrone CR, Sahani DV (2008) Vascular and biliary variants in the liver: implications for liver surgery. Radiographics 28(2):359–378. https://doi.org/10.1148/rg.282075099 (PMID: 18349445)
doi: 10.1148/rg.282075099
pubmed: 18349445
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(2):542–547 (PMID: 12147854)
doi: 10.1148/radiol.2242011283
Hasan O, Greco S, Kennedy T, Carpizo D, Kempf J, Nosher J (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):355–358. https://doi.org/10.1007/s00276-018-2158-2 (PMID: 30612141)
doi: 10.1007/s00276-018-2158-2
pubmed: 30612141
Hiatt JR, Gabbay J, Busuttil RW (1994) Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 220(1):50–52. https://doi.org/10.1097/00000658-199407000-00008 (PMID: 8024358)
doi: 10.1097/00000658-199407000-00008
pubmed: 8024358
pmcid: 1234286
Kishi Y, Imamura H, Sugawara Y, Sano K, Kaneko J, Kokudo N, Makuuchi M (2010) Evaluation of donor vasculobiliary anatomic variations in liver graft procurements. Surgery 147(1):30–39. https://doi.org/10.1016/j.surg.2009.06.017 (Epub 2009 Oct 31. PMID: 19879610)
doi: 10.1016/j.surg.2009.06.017
pubmed: 19879610
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(3):239–244. https://doi.org/10.1007/s00276-004-0229-z (PMID: 14968265)
doi: 10.1007/s00276-004-0229-z
pubmed: 14968265
Lippert H, Pabst R (1985) Arterial variations in man. JF Bergmann Verlag, München, pp 30–53
doi: 10.1007/978-3-642-80508-0
Lipshutz B (1917) A composite study of the coeliac axis artery. Ann Surg 65(2):159–169. https://doi.org/10.1097/00000658-191702000-00006 (PMID: 17863663)
doi: 10.1097/00000658-191702000-00006
pubmed: 17863663
pmcid: 1426316
Marco-Clement I, Martinez-Barco A, Ahumada N, Simon C, Valderrama JM, Sanudo J, Arrazola J (2016) Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat 38(4):501–510. https://doi.org/10.1007/s00276-015-1542-4 (PMID: 26267305)
doi: 10.1007/s00276-015-1542-4
pubmed: 26267305
Michels NA (1966) Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 112(3):337–347. https://doi.org/10.1016/0002-9610(66)90201-7 (PMID: 5917302)
doi: 10.1016/0002-9610(66)90201-7
pubmed: 5917302
Noussios G, Dimitriou I, Chatzis I, Katsourakis A (2017) The main anatomic variations of the hepatic artery and their importance in surgical practice: review of the literature. J Clin Med Res 9(4):248–252. https://doi.org/10.14740/jocmr2902w (PMID: 28270883)
doi: 10.14740/jocmr2902w
pubmed: 28270883
pmcid: 5330766
Rubio-Manzanares-Dorado M, Marín-Gómez LM, Aparicio-Sánchez D, Suárez-Artacho G, Bellido C, Álamo JM, Serrano-Díaz-Canedo J, Padillo-Ruiz FJ, Gómez-Bravo MÁ (2015) Implication of the presence of a variant hepatic artery during the Whipple procedure. Rev Esp Enferm Dig 107(7):417–422. https://doi.org/10.17235/reed.2015.3701/2015 (PMID: 26140634)
doi: 10.17235/reed.2015.3701/2015
pubmed: 26140634
Song SY, Chung JW, Yin YH, Jae HJ, Kim HC, Jeon UB, Cho BH, So YH, Park JH (2010) Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology 255(1):278–288 (PMID: 20308464)
doi: 10.1148/radiol.09090389