IJCRR - 5(14), July, 2013
Pages: 65-68
RIGHT HEPATIC ARTERY BRANCHING OFF FROM SUPERIOR MESENTERIC ARTERY - A CASE REPORT
Author: B. M. Bannur, B.B. Patil, Prerna Gupta, Neeraj Gupta, Sahana B.N., Nagaraj M.
Category: Healthcare
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Abstract:
The anatomical variations of the abdominal viscera are important due to its clinical importance. Various types of vascular anomalies are frequently found in human abdominal viscera during cadaveric dissection and diagnostic radiological imaging. The present report describes a variation in the branching pattern of right hepatic artery. Here right hepatic artery was arising from superior mesenteric artery, which was a direct branch from abdominal aorta. It was measuring 7 cm and was running behind portal vein. It is crucial for surgeons and radiologists to detect presence of a replaced right hepatic artery, not only for liver transplantation but before any abdominal surgery, as this unnoticed variant is vulnerable to inadvertent ligation.
Keywords: Right hepatic artery, Superior mesenteric artery, Liver transplantation.
Citation:
B. M. Bannur, B.B. Patil, Prerna Gupta, Neeraj Gupta, Sahana B.N., Nagaraj M.. RIGHT HEPATIC ARTERY BRANCHING OFF FROM SUPERIOR MESENTERIC ARTERY - A CASE REPORT International Journal of Current Research and Review. 5(14), July, 65-68
References:
1. Standring S. Abdomen and pelvis. In: Neil R Borley, editor. Gray’s Anatomy, 40th ed. Churchill Livingston: Elsevier; 2008. p. 1163-1177.
2. Kornasiewicz O, Krawczyk M, Paluszkiewicz R, Zieniewicz K, Hevelke P, Grzelak I, et al. Anatomical alteration of the vascular tree observed during living related liver transplantation. Transplant Proc 2003; 35: 2245–47.
3. Hwang S, Lee SG, Lee YJ, Park KM, Kim KH, Ahn CS, Sung KB, Moon DB, Ha TY, Kim KK, Kim YD. Donor selection for procurement of right posterior segment graft in living donor liver transplantation. Liver Transpl. 2004;10: 1150–1155.
4. Marcos A, Killackey M, Orloff MS, Mieles L, Bozorgzadeh A, Tan HP. Hepatic arterial reconstruction in 95 adult right lobe living donor liver transplants: evolution of anastomotic technique. Liver Transpl. 2003; 9: 570–574
5. MOON JJ, WIJDICKS CA , WILLIAMS JM. Right hepatic artery branching off the superior mesenteric artery and its potential implications. International journal of anatomical variations.2009;2:143-45.
6. Charg RW, Charg JB, Watter E, Longo. Update in management of mesenteric ischemia. World J gastroentero2006;12:3243-47.
7. Nicholson T, Travis S, Ettles D, Dyet J, Sedman P et al. Hepatic artery angiography and embolization for hemobilia following laparoscopic cholecystectomy. Cardiovasc Intervent Radiol.1999; 22: 20–24.
8. Bradbury AW, Brittenden J, McBride K, Ruckley CV. Mesenteric ischaemia: a multidisciplinary approach. Br J Surg.1995; 82: 1446–59.
9. Orguc S, Tercan M, Bozoklar A, Akyildiz M et al. Variations of hepatic veins: helical computerized tomography experience in 100 consecutive living liver donors with emphasis on right lobe. Transplant Proc. 2004. 36: 2727–2732.
10. Yeh BM, Coakley FV, Westphalen AC, Joe BN, Freise CE et al. Predicting biliary complications in right lobe liver transplant recipients according to distance between donor’s bile duct and corresponding hepatic artery. Radiology.2007; 242: 144–51.
11. Ishigami K, Zhang Y, Rayhill S, Katz D, Stolpen A. Does variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic artery complications after transplantation? AJR Am J Roentgenol. 2004; 183: 1577–84
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