Uva Pablo, Arvelakis Antonios, Rodriguez-Laiz Gonzalo, Lerner Susan, Emre Sukru, Gondolesi Gabriel
Recanati/Miller Transplantation Institute, The Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1104, New York, NY 10029-6574, USA.
Surg Radiol Anat. 2007 Feb;29(1):93-5. doi: 10.1007/s00276-006-0159-z. Epub 2006 Nov 1.
Anatomical variations of the arterial supply of the liver are not uncommon. The typical normal "textbook" anatomy of the hepatic artery is found only in approximately half of the cases. Some of the variations such as the presence of a right or left hepatic branch are more common, but other ones are extremely rare. We describe here a rare case in which the common hepatic artery arose from the left gastric artery, found during a cadaveric liver donor harvesting and confirmed with imaging studies. Cases like this one highlight the importance of knowing the hepatic arterial anatomy and the possibility of its numerous variations by the transplant and hepatobiliary surgeon.
肝脏动脉供应的解剖变异并不少见。典型的正常“教科书式”肝动脉解剖仅在约一半的病例中出现。某些变异,如存在右或左肝分支,较为常见,但其他一些变异则极为罕见。我们在此描述一例罕见病例,即肝总动脉起源于胃左动脉,该病例在尸体肝供体获取过程中被发现,并经影像学检查得以证实。这样的病例凸显了移植和肝胆外科医生了解肝动脉解剖及其众多变异可能性的重要性。