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Published in: Indian Journal of Surgery 1/2013

01-06-2013 | Case Report

Accessory Right Hepatic Artery and Its Implications for a Surgeon

Authors: Y. C. Madhu, K. Harish

Published in: Indian Journal of Surgery | Special Issue 1/2013

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Abstract

Introduction

Accessory hepatic artery is an incidental finding during hepatobiliary, pancreatic surgery and may be found during hepatic transplantation surgery on angiogram. This artery should be carefully identified & preserved during these surgeries.

Case report

A case of accessory right hepatic artery found incidentally during pancreatico duodenectomy [whippels procedure] identified, dissected carefully & preserved.

Discussion

Anomalous hepatic vasculature is a rare incidental finding during hepatobiliary-pancreatic surgery. These anomalies or accessory hepatic arteries should be identified, carefully preserved to prevent inadvertent injury, torrential bleeding & hepatic necrosis .preservation of these anomalous vasculature will not compromise oncological margin.
Literature
1.
go back to reference Yang Y, Jiang N, Lu MQ, Xu C, Cai CJ, Li H et al (2007) Anatomical variation of the donor hepatic arteries: analysis of 843 cases. Nan Fang Yi Ke Da Xue Xue Bao 27:1164–1166PubMed Yang Y, Jiang N, Lu MQ, Xu C, Cai CJ, Li H et al (2007) Anatomical variation of the donor hepatic arteries: analysis of 843 cases. Nan Fang Yi Ke Da Xue Xue Bao 27:1164–1166PubMed
2.
go back to reference Kadir S, Lundell C, Saeed M (1991) Coeliac, superior and inferior mesenteric arteries. In: Kadir S (ed) Atlas of normal and variant anatomy. Saunders, Philadelphia, pp 297–308 Kadir S, Lundell C, Saeed M (1991) Coeliac, superior and inferior mesenteric arteries. In: Kadir S (ed) Atlas of normal and variant anatomy. Saunders, Philadelphia, pp 297–308
3.
go back to reference Woods MS, Traverso LW (1993) Sparing a replaced common hepatic artery during pancreaticoduodenectomy. Am Surg 59:719–721PubMed Woods MS, Traverso LW (1993) Sparing a replaced common hepatic artery during pancreaticoduodenectomy. Am Surg 59:719–721PubMed
4.
go back to reference Couinaud C (1989) Surgical anatomy of the liver revisited. Couinaud, Paris Couinaud C (1989) Surgical anatomy of the liver revisited. Couinaud, Paris
5.
go back to reference Rela M, McCall JL, Karani JH, Nigel D (1998) Accessory right hepatic artery arising from the left: implications for split liver transplantation. Transplantation 66(e6):792–794PubMedCrossRef Rela M, McCall JL, Karani JH, Nigel D (1998) Accessory right hepatic artery arising from the left: implications for split liver transplantation. Transplantation 66(e6):792–794PubMedCrossRef
6.
go back to reference Wachsberg RH, Cho KC, Raina S (1994) Liver infarction following unrecognized right hepatic artery ligation at laparoscopic cholecystectomy. Abdom Imaging 19:53–54PubMedCrossRef Wachsberg RH, Cho KC, Raina S (1994) Liver infarction following unrecognized right hepatic artery ligation at laparoscopic cholecystectomy. Abdom Imaging 19:53–54PubMedCrossRef
7.
go back to reference Asif JAH, Jamieson N, Huguet E, Praseedom R (2009) The implications of the presence of an aberrant right hepatic artery in patients undergoing a pancreaticoduodenectomy. Surg Today 39:669–674CrossRef Asif JAH, Jamieson N, Huguet E, Praseedom R (2009) The implications of the presence of an aberrant right hepatic artery in patients undergoing a pancreaticoduodenectomy. Surg Today 39:669–674CrossRef
8.
go back to reference Turrini O, Wiebke EA, Delpero JR, Viret F, Lillemoe KD, Schmidt CM (2010) Preservation of replaced or accessory right hepatic artery during pancreaticoduodenectomy for adenocarcinoma: impact on margin status and survival. J Gastrointest Surg 14(11):1813–1819PubMedCrossRef Turrini O, Wiebke EA, Delpero JR, Viret F, Lillemoe KD, Schmidt CM (2010) Preservation of replaced or accessory right hepatic artery during pancreaticoduodenectomy for adenocarcinoma: impact on margin status and survival. J Gastrointest Surg 14(11):1813–1819PubMedCrossRef
Metadata
Title
Accessory Right Hepatic Artery and Its Implications for a Surgeon
Authors
Y. C. Madhu
K. Harish
Publication date
01-06-2013
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue Special Issue 1/2013
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-013-0893-5

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