Replaced right and left hepatic arteries: a variation in origin and course

In ∼60% of cases, hepatic artery anatomy is of the normal variant. However, in 40% of cases, anomalies can exist. Preserving the hepatic blood supply is paramount in hepatobiliary procedures. We report an aberrant right hepatic artery coursing retroportally, with an aberrant left hepatic artery orig...

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Bibliographic Details
Published in:BMJ case reports 2017-01, Vol.2017, p.bcr2016218345
Main Authors: Asif, Mohammed, Anewenah, Leslie S, Reddy, Nisha, Khan, Farrukh A
Format: Article
Language:English
Subjects:
Abdomen
Anatomic Variation
Bile
Bile Duct Neoplasms - surgery
Black
Cardiovascular disease
Celiac Artery - abnormalities
Celiac Artery - diagnostic imaging
Cholangiocarcinoma - surgery
Cholecystectomy
Computed Tomography Angiography
Coronary vessels
Female
Hepatic Artery - abnormalities
Hepatic Artery - diagnostic imaging
Humans
Metastasis
Middle Aged
Ostomy
Pancreas
Pancreaticoduodenectomy
Rare Disease
Splenic Artery - abnormalities
Splenic Artery - diagnostic imaging
Thrombosis
USA/Canada
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Summary:In ∼60% of cases, hepatic artery anatomy is of the normal variant. However, in 40% of cases, anomalies can exist. Preserving the hepatic blood supply is paramount in hepatobiliary procedures. We report an aberrant right hepatic artery coursing retroportally, with an aberrant left hepatic artery originating directly from the coeliac artery in a patient who underwent an elective pancreaticoduodenectomy (Whipple procedure).
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-218345