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

BMJ Case Rep. 2017 Jan 31:2017:bcr2016218345. doi: 10.1136/bcr-2016-218345.

Abstract

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).

Publication types

  • Case Reports

MeSH terms

  • Anatomic Variation*
  • Bile Duct Neoplasms / surgery*
  • Celiac Artery / abnormalities*
  • Celiac Artery / diagnostic imaging
  • Cholangiocarcinoma / surgery*
  • Computed Tomography Angiography
  • Female
  • Hepatic Artery / abnormalities*
  • Hepatic Artery / diagnostic imaging
  • Humans
  • Middle Aged
  • Pancreaticoduodenectomy*
  • Splenic Artery / abnormalities*
  • Splenic Artery / diagnostic imaging