Iacob Nicoleta, Pusztai Agneta Maria, Miclăuş Graţian Dragoslav, Pop Elena, Matusz Petru
Department of Anatomy, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania;
Rom J Morphol Embryol. 2018;59(1):353-357.
The authors describe a case of a 61-year-old female patient, which presented on multidetector computed tomographic (MDCT) angiography a gastrosplenic trunk (GST) and common hepatic artery (CHA) arose independently from abdominal aorta (AA). The GST arose from the anterior wall of the AA, at the level of upper edge of the L1 vertebral body. The left gastric artery (LGA) arose from the superior wall of the GST. The splenic artery (SA) continuous the path of GST. The CHA arose from the anterior wall of the AA, at the level of upper one third of the L1 vertebral body, at 15.3 mm above the origin of superior mesenteric artery (SMA). The incidence and developmental and clinical significance of this vascular variation is discussed with a detailed review of the literature.
作者描述了一例61岁女性患者，其在多排螺旋计算机断层扫描（MDCT）血管造影中显示胃脾干（GST）和肝总动脉（CHA）独立发自腹主动脉（AA）。胃脾干发自腹主动脉前壁，位于L1椎体上缘水平。胃左动脉（LGA）发自胃脾干上壁。脾动脉（SA）延续胃脾干的走行。肝总动脉发自腹主动脉前壁，位于L1椎体上三分之一水平，在肠系膜上动脉（SMA）起始部上方15.3 mm处。本文结合文献详细综述讨论了这种血管变异的发生率、发育及临床意义。
